MEDICARE: DELISA CARTER-FORD

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	163WH0200X	Home Health Registered Nurse	4704420165	MI

General Provider Information

NPI Number	:	1750233904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELISA CARTER-FORD

Provider Business Mailing Address
First Line	:	15020 FENTON
Second Line	:
City	:	REDFORD
State	:	MI
Zip	:	48239-3428
Country	:	US
Telephone Number	:	248-259-9100
Fax Number	:	248-259-9100

Provider Business Practice Location Address
First Line	:	15020 FENTON
Second Line	:
City	:	REDFORD
State	:	MI
Zip	:	48239-3428
Country	:	US
Telephone Number	:	248-259-9100
Fax Number	:	248-259-9100

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ DELISA CARTER-FORD ” Practice Location

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