Healthcare Provider Details

I. General information

NPI: 1720994759
Provider Name (Legal Business Name): DENITA PARRISH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S ANNABELLE ST
DETROIT MI
48217-1153
US

IV. Provider business mailing address

100 RIVERFRONT DR
DETROIT MI
48226-4500
US

V. Phone/Fax

Practice location:
  • Phone: 313-492-6918
  • Fax:
Mailing address:
  • Phone: 313-304-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: