Individual provider · NPI-1

Kathleen M Anderson

Home Health Aide · Livonia, MI

NPI number1144052184
StatusActive
Last updated in NPPESAug 22, 2024

Details

NPI
1144052184
Entity type
Individual (NPI-1)
Name
Kathleen M Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2024
Certification date
Aug 22, 2024
Last updated
Aug 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

9550 Cardwell St
Livonia, MI 48150-3216

Phone 734-536-3372

Mailing address

9550 Cardwell St
Livonia, MI 48150-3216

Phone 734-536-3372

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