Healthcare Provider Details

I. General information

NPI: 1699622985
Provider Name (Legal Business Name): NEIGHBORHOOD HEALTH SERVICES L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 S MONROE ST
MONROE MI
48161-2249
US

IV. Provider business mailing address

428 S MONROE ST
MONROE MI
48161-2249
US

V. Phone/Fax

Practice location:
  • Phone: 419-460-0789
  • Fax: 419-208-9556
Mailing address:
  • Phone: 419-460-0789
  • Fax: 419-208-9556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TONISHA HARRISON
Title or Position: PROVIDER
Credential: NURSE PRACTITIONER
Phone: 419-469-0078