Healthcare Provider Details

I. General information

NPI: 1386243376
Provider Name (Legal Business Name): HALSTEAD NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 10/20/2020
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 WESTBROOK
WHITMORE LAKE MI
48189-8212
US

IV. Provider business mailing address

15226 S TELEGRAPH RD
MONROE MI
48161-4064
US

V. Phone/Fax

Practice location:
  • Phone: 418-344-8919
  • Fax:
Mailing address:
  • Phone: 419-344-8919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEGHANNE DENISE DECANT
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 419-344-8919