Organization
CHAMPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HENSLEY (PROVIDER)
(810) 341-2745
Entity
Organization
Contact information
Practice address
1401 POPLAR ST, FLINT, MI 48503-4845
(810) 341-2745
Mailing address
1401 POPLAR ST, FLINT, MI 48503-4845
(810) 341-2745
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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