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Organization

PREVISION WITHSTANDING, INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLITA JAVIERE BUFFINGTON (CEO)
(313) 978-4777
Entity
Organization

Contact information

Practice address
1758 HELEN ST, DETROIT, MI 48207-3654
(313) 355-4716
Mailing address
PO BOX 32166, DETROIT, MI 48232-0166
(313) 355-4716

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
AS820385603
MI
372500000X
Chore Provider
AS820385603
MI
372500000X
Chore Provider
372600000X
Adult Companion
AS820385603
MI
374U00000X
Home Health Aide
Primary
AS820385603
MI
376J00000X
Homemaker
AS820385603
MI

Other

Enumeration date
09/23/2017
Last updated
09/23/2017
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