Lavona Angela Wise

NPI #1386234607 in Inkster, Michigan

Provider Information

NPI Number
1386234607
Entity Type
Individual
Name
Lavona Angela Wise
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date
Jan 20, 2021
Last Updated
Jun 8, 2021

Practice Location

Address
28925 GLENWOOD ST
ZIP Code
48141
Phone
(313) 461-8691

Specialties & Taxonomy Codes

Specialty
Home Health
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness

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