Healthcare Provider Details

I. General information

NPI: 1457748568
Provider Name (Legal Business Name): ZILLIA ARMOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16206 BURGESS
DETROIT MI
48219-4804
US

IV. Provider business mailing address

16206 BURGESS
DETROIT MI
48219-4804
US

V. Phone/Fax

Practice location:
  • Phone: 313-740-4623
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number4703110174
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: