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Genevieve Dandridge

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

NPI number1912667841
StatusActive
Last updated in NPPESDec 20, 2021

Details

NPI
1912667841
Entity type
Individual (NPI-1)
Name
Genevieve Dandridge
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 20, 2021
Certification date
Dec 20, 2021
Last updated
Dec 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

24211 Blackmar Ave
Warren, MI 48091-1797

Phone 313-208-9484 · Fax 800-717-0864

Mailing address

Po Box 3292
Center Line, MI 48015-0292

Phone 313-208-9484 · Fax 800-717-0864

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