Kanisha Adams
Home Health in Warren, MI. Individual provider (NPI-1).
NPI number1649021494
StatusActive
Last updated in NPPESMar 29, 2024
Details
- NPI
- 1649021494
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kanisha Adams
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 372500000X | Chore Provider | – | – |
Practice location
28401 Mound Rd Unit 5390Warren, MI 48090-7287
Phone 586-382-3646
Mailing address
28401 Mound Rd Unit 5390Warren, MI 48090-7287
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