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Anthony Favor Jr.

Home Health Aide in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1801535885
StatusActive
Last updated in NPPESMay 31, 2022

Details

NPI
1801535885
Entity type
Individual (NPI-1)
Name
Anthony Favor Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 31, 2022
Certification date
May 31, 2022
Last updated
May 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1881 Forestview Dr
Ypsilanti, MI 48198-9534

Phone 313-516-4692

Mailing address

1881 Forestview Dr
Ypsilanti, MI 48198-9534

Phone 313-516-4692

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