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NPI Code Detail

MEDICARE: THERESA HARGROVE

MEDICARE: THERESA HARGROVE
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1982553533
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA HARGROVE
Provider Business Mailing Address
First Line : 10425 E STANLEY RD
Second Line :
City : DAVISON
State : MI
Zip : 48423-9348
Country : US
Telephone Number : 810-667-0500
Fax Number :
Provider Business Practice Location Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ THERESA HARGROVE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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