Healthcare Provider Details

I. General information

NPI: 1508775461
Provider Name (Legal Business Name): DOOR TO DOOR WOUND CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23801 GRATIOT AVE STE 102
EASTPOINTE MI
48021-1666
US

IV. Provider business mailing address

23801 GRATIOT AVE STE 102
EASTPOINTE MI
48021-1666
US

V. Phone/Fax

Practice location:
  • Phone: 313-673-3964
  • Fax: 313-521-1031
Mailing address:
  • Phone: 313-673-3964
  • Fax: 313-521-1031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAYNETTE GOUDY EGGER
Title or Position: ADMINISTRATOR
Credential: FNP
Phone: 313-673-3964