Organization · NPI-2

.Mo'S Shower Express

Home Health · Inkster, MI

NPI number1083157689
StatusActive
Last updated in NPPESNov 30, 2016

Details

NPI
1083157689
Entity type
Organization (NPI-2)
Legal business name
.Mo'S Shower Express
Organization subpart
No
Enumeration date
Nov 30, 2016
Last updated
Nov 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health4809MIYes

Practice location

4154 Klink St
Inkster, MI 48141-2745

Phone 586-235-7098

Mailing address

4154 Klink St
Inkster, MI 48141

Phone 586-235-7098

Authorized official

Monquelia Lavette Mcclinton
Nursing Assistant
5862357098

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