MEDICARE: ALISHA R STEWARD

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	372500000X	Chore Provider

General Provider Information

NPI Number	:	1245992171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA R STEWARD

Provider Business Mailing Address
First Line	:	7436 OAKLAND ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-1352
Country	:	US
Telephone Number	:	586-260-6504
Fax Number	:

Provider Business Practice Location Address
First Line	:	7436 OAKLAND ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48211-1352
Country	:	US
Telephone Number	:	586-260-6504
Fax Number	:

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

Provider Enumeration Date	:	10/07/2021
Last Update Date	:	10/07/2021

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Directions to “ ALISHA R STEWARD ” Practice Location

Language	Start Address	Practice Location

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