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NPI Code Detail

MEDICARE: SABRINA WATTS LLC

MEDICARE: SABRINA WATTS LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1649135203
Entity Type Code : Organization
Provider Name (Legal Business Name) : SABRINA WATTS LLC
Provider Business Mailing Address
First Line : 9 EDEN PARK DR
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1997
Country : US
Telephone Number : 313-662-4335
Fax Number :
Provider Business Practice Location Address
First Line : 9 EDEN PARK DR
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1997
Country : US
Telephone Number : 313-662-4335
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SABRINA WATTS
Credential :
Telephone Number : 313-662-4335
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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