Janie Gibson
Home Health Aide in Highland Park, MI. Individual provider (NPI-1).
NPI number1437902863
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1437902863
- Entity type
- Individual (NPI-1)
- Name
- Janie Gibson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2024
- Certification date
- Apr 7, 2024
- Last updated
- Apr 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | MI | Yes |
Practice location
18090 Marx StHighland Park, MI 48203-2468
Phone 313-471-4013
Mailing address
18090 Marx StHighland Park, MI 48203-2468
Phone 313-471-4013
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