Ebony Pugh is a Driver based in Bowling Green, MI. Ebony Pugh practices in Detroit, MI. The NPI Number for Ebony Pugh is 1477270924 and holds a License No. (Michigan).
The current practice location address for Ebony Pugh is 16581 Freeland St, Detroit, MI and can be reached out via phone at 313-400-3531.
Location: 16581 Freeland St, Detroit, MI, 43402-4750
Provider Profile Details
NPI Number
1477270924
Provider Name
Ebony Pugh
Credential
Provider Entity Type
Individual
Gender
Male
Address
16581 Freeland St, Detroit, MI, 43402-4750
Phone Number
313-400-3531
Fax Number
Provider Enumeration Date
10/25/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
16581 Freeland St
City
State
Zip
48235-4058
Phone Number
313-400-3531
Fax Number
Provider Business Mailing Address Details
Address
16581 Freeland St
City
State
Zip
48235-4058
Phone Number
313-400-3531
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Contractor
Speciality
Vehicle Modifications
Taxonomy
License No.
()
Definition
A contractor who makes modifications to private vehicles to accommodate a health condition.
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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