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Lucas James Underwood
Homemaker in Southgate, Michigan
NPI 1154183861

Lucas James Underwood is a Homemaker based in Southgate, MI. Lucas James Underwood practices in Southgate, MI. The NPI Number for Lucas James Underwood is 1154183861 and holds a License No. (Michigan).

The current practice location address for Lucas James Underwood is 12431 Reeck Rd, Southgate, MI and can be reached out via phone at 313-603-8105.

Location: 12431 Reeck Rd, Southgate, MI, 48195-2250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154183861
Provider Name
Lucas James Underwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
12431 Reeck Rd, Southgate, MI, 48195-2250
Phone Number
313-603-8105
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12431 Reeck Rd
City
Southgate
State
Michigan
Zip
48195-2250
Phone Number
313-603-8105
Fax Number
person
Provider Business Mailing Address Details
Address
12431 Reeck Rd
City
Southgate
State
Michigan
Zip
48195-2250
Phone Number
313-603-8105
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
(Michigan)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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