Hazel Samuel, owner
Home Health Aide in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1972839124
StatusActive
Last updated in NPPESOct 22, 2009
Details
- NPI
- 1972839124
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Hazel Samuel
- Credential
- owner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2009
- Last updated
- Oct 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 383716007 | MI | Yes |
| 376K00000X | Nurse's Aide | 383716007 | MI |
Practice location
5050 Bosuns WayA4
Ypsilanti, MI 48197-6708
Phone 734-829-8627
Mailing address
5050 Bosuns WayA4
Ypsilanti, MI 48197-6708
Phone 734-829-8627
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