Supportive Care LLC

Licensed Practical Nurse · Warren, MI

Organization Active NPI

NPI number 1740871763

Practice location

14823 E 12 Mile Rd
Warren, MI 48088-4004
Phone
(586) 252-6974

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NPI record

NPI
1740871763
Entity type
Organization (Type 2)
Enumeration date
February 2, 2021
Last updated
February 2, 2021
Certified
February 2, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X — —

Authorized official

Name
Miss Brandi Danielle Watters, PRACTICAL NURSE
Title
Owner
Phone
(586) 252-6974

About Supportive Care LLC

Supportive Care LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 14823 E 12 Mile Rd, Warren, MI 48088-4004. The NPI number 1740871763 was assigned on February 2, 2021 and the record was last updated on February 2, 2021.

The authorized official for this organization is Miss Brandi Danielle Watters, PRACTICAL NURSE, Owner.

Frequently asked questions

What is the NPI number of Supportive Care LLC?

The NPI number is 1740871763.

What is the phone number of Supportive Care LLC?

The phone number listed for the practice location is (586) 252-6974.

Where is Supportive Care LLC located?

14823 E 12 Mile Rd, Warren, MI 48088-4004.

What is the taxonomy code for Supportive Care LLC?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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