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NPI Code Detail

MEDICARE: SHARON D EGGLESTON

MEDICARE:   SHARON D EGGLESTON
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
1174200000XMeals ProviderMI
2343900000XNon-emergency Medical Transport (VAN)MI
3372500000XChore ProviderMI
43747P1801XPersonal Care AttendantMI
5385H00000XRespite CareMI
63747A0650XAttendant Care ProviderMI

General Provider Information

NPI Number : 1679431266
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON D EGGLESTON
Provider Business Mailing Address
First Line : 15070 HOUSTON WHITTIER ST
Second Line :
City : DETROIT
State : MI
Zip : 48205-4127
Country : US
Telephone Number : 313-270-6648
Fax Number :
Provider Business Practice Location Address
First Line : 3841 YORKSHIRE RD
Second Line :
City : DETROIT
State : MI
Zip : 48224-2325
Country : US
Telephone Number : 313-409-1994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ SHARON D EGGLESTON ” Practice Location

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