Healthcare Provider Details

I. General information

NPI: 1942671151
Provider Name (Legal Business Name): BELINDA BESSANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 11/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16820 ROCKDALE ST
DETROIT MI
48219-3866
US

IV. Provider business mailing address

16820 ROCKDALE ST
DETROIT MI
48219-3866
US

V. Phone/Fax

Practice location:
  • Phone: 313-289-1820
  • Fax:
Mailing address:
  • Phone: 313-289-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: