Tuckerville.llc

NPI #1063870293 in Wayne, Michigan

Provider Information

NPI Number: 1063870293
Entity Type: Organization
Organization Name: Tuckerville.llc
Primary Specialty: Home Health
Enumeration Date: Feb 2, 2016
Last Updated: Mar 24, 2023

Practice Location

Address: 35230 E MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-3698
Phone: (313) 312-5706

Authorized Official

Name: MRS. FARTIMA TUCKER, LMSW, IMH-E(II)
Title: CEO/OWNER
Phone: (313) 303-7423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Public Health or Welfare	251K00000X
In Home Supportive Care	253Z00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Health Maintenance Organization	302R00000X
Home Health	251E00000X	Primary

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