Healthcare Provider Details

I. General information

NPI: 1750422135
Provider Name (Legal Business Name): SHEILA PEELING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3079 NOKOMIS TRL
CLYDE MI
48049-4532
US

IV. Provider business mailing address

1775 OMAR RD
KIMBALL MI
48074-2734
US

V. Phone/Fax

Practice location:
  • Phone: 810-388-1200
  • Fax:
Mailing address:
  • Phone: 810-388-1200
  • Fax: 810-388-1200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: