Joshua Phillip
Nursing Home Administrator in Southfield, MI. Individual provider (NPI-1).
NPI number1154965366
StatusActive
Last updated in NPPESOct 30, 2019
Details
- NPI
- 1154965366
- Entity type
- Individual (NPI-1)
- Name
- Joshua Phillip
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2019
- Last updated
- Oct 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | – | – | Yes |
Practice location
21691 Fairway DrSouthfield, MI 48033-4314
Phone 248-993-9239
Mailing address
Po Box 231Southfield, MI 48037-0231
Phone 248-993-9239
Other practice locations
25775 Larkins St
Southfield, MI 48033-4852
Southfield, MI 48033-4852
Phone 248-993-9239
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