Healthcare Provider Details

I. General information

NPI: 1154266732
Provider Name (Legal Business Name): MARSHA CRAWFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25786 VALLEY CREEK DR APT 807
FLAT ROCK MI
48134-2842
US

IV. Provider business mailing address

25786 VALLEY CREEK DR APT 807
FLAT ROCK MI
48134-2842
US

V. Phone/Fax

Practice location:
  • Phone: 248-301-9668
  • Fax:
Mailing address:
  • Phone: 248-301-9668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: