NPI 1346629599 · live from the CMS NPI Registry
Debreeca
Skilled Nursing Facility, Nursing Care, Pediatric in Detroit, MI. National Provider Identifier 1346629599, active.
NPI record
| NPI | 1346629599 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility, Nursing Care, Pediatric 3140N1450X |
| Practice location | 14855 Rosemont Ave, Detroit, MI 48223 |
| Practice phone | 313-437-5254 |
| Enumerated | May 20, 2015 |
| Last updated | May 20, 2015 |
| Authorized official | Debreeca Byrd, Lpn |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility, Nursing Care, Pediatric primary | 3140N1450X | 4703109404 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.