Organization · NPI-2

Benita Nicole-Hazel Jones Trust

Nurse's Aide · Detroit, MI

NPI number1396445516

StatusActive

Last updated in NPPESMar 7, 2023

Details

NPI: 1396445516
Entity type: Organization (NPI-2)
Legal business name: Benita Nicole-Hazel Jones Trust
Organization subpart: No
Enumeration date: Mar 7, 2023
Certification date: Mar 4, 2023
Last updated: Mar 7, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
376K00000X	Nurse's Aide	–	–	Yes
372500000X	Chore Provider	–	–
372600000X	Adult Companion	–	–
3747A0650X	Technician, Attendant Care Provider	–	–
374U00000X	Home Health Aide	–	–
171WH0202X	Contractor, Home Modifications	–	–
171WV0202X	Contractor, Vehicle Modifications	–	–
171W00000X	Contractor	–	–
172A00000X	Driver	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
251E00000X	Home Health	–	–
251X00000X	Supports Brokerage	–	–
253Z00000X	In Home Supportive Care	–	–
347C00000X	Private Vehicle	–	–
347E00000X	Transportation Broker	–	–

Other names

Benita Nicole Oliver (Doing Business As)

Practice location

9645 Bramell
Detroit, MI 48239-1369

Phone 313-303-3807

Mailing address

9645 Bramell
Detroit, MI 48239-1369

Phone 313-303-3807

Authorized official

Benita Nicole Oliver
Trustee
3133033807

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