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NPI Code Detail

MEDICARE: ELKA BOYD

MEDICARE: ELKA BOYD
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
1171M00000XCase Manager/Care CoordinatorMI

General Provider Information

NPI Number : 1811655483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELKA BOYD
Provider Business Mailing Address
First Line : 35425 W MICHIGAN AVE
Second Line :
City : WAYNE
State : MI
Zip : 48184-9800
Country : US
Telephone Number : 734-467-7600
Fax Number : 734-467-7636
Provider Business Practice Location Address
First Line : 35425 W MICHIGAN AVE
Second Line :
City : WAYNE
State : MI
Zip : 48184-9800
Country : US
Telephone Number : 734-467-7600
Fax Number : 734-467-7636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 12/01/2025

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Directions to “ ELKA BOYD ” Practice Location

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