Healthcare Provider Details

I. General information

NPI: 1184180903
Provider Name (Legal Business Name): JUST LIKE HOME QUALITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2019
Last Update Date: 02/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 WALDMAN AVE
FLINT MI
48507-1509
US

IV. Provider business mailing address

13028 ALYSSA CT
LINDEN MI
48451-8434
US

V. Phone/Fax

Practice location:
  • Phone: 810-496-3357
  • Fax:
Mailing address:
  • Phone: 810-496-3357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAWNDRA FRENCHETTE EUWING
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 810-813-3780