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MIBELL HOME HEALTH CARE AGENCY NPI 1710553839


NPI Information

NPI: 1710553839
Provider Name: MIBELL HOME HEALTH CARE AGENCY

Doing Business As: MIBELL HOME HEALTH CARE AGENCY

Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
28986 SUGAR ISLAND CT
GIBRALTAR, MI
ZIP 48173
Phone: (248) 929-4645
Get Directions

MIBELL HOME HEALTH CARE AGENCY is a licensed practical nurse in Gibraltar, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MIBELL HOME HEALTH CARE AGENCY NPI is 1710553839. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mibell Home Health Care Agency.

The provider's business location address is:

28986 SUGAR ISLAND CT
GIBRALTAR, MI
ZIP 48173-578
Phone: (248) 929-4645

The provider's authorized official is Brittianee Pettaway .
The authorized official title is Owner and has the following contact phone number (248) 929-4645.

The enumeration date for this NPI number is 5/29/2021 and was last updated on 4/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NurseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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