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NPI Code Detail

MEDICARE: DEZHANILE HALL

MEDICARE: DEZHANILE HALL
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
1376K00000XNurse's AideMI02242026336603MI

General Provider Information

NPI Number : 1558216549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEZHANILE HALL
Provider Business Mailing Address
First Line : 14167 KENTFIELD ST
Second Line :
City : DETROIT
State : MI
Zip : 48223-2703
Country : US
Telephone Number : 313-408-8512
Fax Number :
Provider Business Practice Location Address
First Line : 14167 KENTFIELD ST
Second Line :
City : DETROIT
State : MI
Zip : 48223-2703
Country : US
Telephone Number : 313-408-8512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ DEZHANILE HALL ” Practice Location

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