Organization
SUTHERLOND HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HENRY TILLMON SR. (DIRECTOR)
(313) 953-5692
Entity
Organization
Contact information
Practice address
20499 ILENE, DETROIT, MI 48221
(313) 953-5692
Mailing address
20499 ILENE, DETROIT, MI 48221
(313) 953-5692
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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