Healthcare Provider Details

I. General information

NPI: 1720931108
Provider Name (Legal Business Name): WENDY BRIGGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25014 TROMBLEY ST
HARRISON TOWNSHIP MI
48045-6415
US

IV. Provider business mailing address

25014 TROMBLEY ST
HARRISON TOWNSHIP MI
48045-6415
US

V. Phone/Fax

Practice location:
  • Phone: 586-252-0288
  • Fax:
Mailing address:
  • Phone: 586-252-0288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberAS500417358
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: