Healthcare Provider Details

I. General information

NPI: 1558209387
Provider Name (Legal Business Name): ERICA ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRELEE HOME SUPPORT

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20510 WOODCREST ST
HARPER WOODS MI
48225-2074
US

IV. Provider business mailing address

20510 WOODCREST ST
HARPER WOODS MI
48225-2074
US

V. Phone/Fax

Practice location:
  • Phone: 248-259-1515
  • Fax:
Mailing address:
  • Phone: 248-259-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: