Individual provider · NPI-1

Genell Fa'Tema-Rochea Banks

Home Health Aide · Inkster, MI

NPI number1376393231
StatusActive
Last updated in NPPESMar 25, 2024

Details

NPI
1376393231
Entity type
Individual (NPI-1)
Name
Genell Fa'Tema-Rochea Banks
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 25, 2024
Certification date
Mar 25, 2024
Last updated
Mar 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

3799 Henry Ruff Rd
Inkster, MI 48141-2071

Phone 313-675-7484

Mailing address

26271 W Hills Dr
Inkster, MI 48141-1906

Phone 313-675-7484

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