MEDICARE: TEKEILA STEEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MI

General Provider Information

NPI Number	:	1093549818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEKEILA STEEN

Provider Business Mailing Address
First Line	:	2785 E GRAND BLVD UNIT 247
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-2003
Country	:	US
Telephone Number	:	866-405-4657
Fax Number	:	866-357-8420

Provider Business Practice Location Address
First Line	:	2785 E GRAND BLVD UNIT 247
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-2003
Country	:	US
Telephone Number	:	810-882-8559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	01/22/2026

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Directions to “ TEKEILA STEEN ” Practice Location

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