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NPI Code Detail

MEDICARE: OCKELEE PERRY

MEDICARE: OCKELEE PERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1043192750
Entity Type Code : Individual
Provider Name (Legal Business Name) : OCKELEE PERRY
Provider Business Mailing Address
First Line : 3060 S DYE RD
Second Line :
City : FLINT
State : MI
Zip : 48507-1078
Country : US
Telephone Number : 833-478-9464
Fax Number :
Provider Business Practice Location Address
First Line : 3088 KEITH DR
Second Line :
City : FLINT
State : MI
Zip : 48507-1206
Country : US
Telephone Number : 833-478-9464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2025
Last Update Date : 07/23/2025

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Directions to “ OCKELEE PERRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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