SKYLAR LAKE

Home Health Aide

Active Individual
NPI: 1306608708

Practice Address

4071 W JEFFERSON AVE
Ecorse, MI 48229

Phone: (313) 743-1313

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1306608708 is the National Provider Identifier for SKYLAR LAKE, a Home Health Aide provider located in Ecorse, MI. This NPI was enumerated on January 30, 2024.
SKYLAR LAKE practices at 4071 W JEFFERSON AVE, Ecorse, MI 48229.

Quick Facts

NPI
1306608708
Type
Individual
Enumerated
Jan 30, 2024
Last Updated
Jan 30, 2024

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