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Releicia Shields
Adult Care Home Facility in Wixom, Michigan
NPI 1508285750

Releicia Shields is an Adult Care Home Facility based in Wixom, MI and is specialized in Adult Care Home. Releicia Shields practices in Wixom, MI. The NPI Number for Releicia Shields is 1508285750 and holds a License No. (Michigan).

The current practice location address for Releicia Shields is 27069 Pinewood Dr Apt 103, Wixom, MI and can be reached out via phone at 248-939-2725.

Location: 27069 Pinewood Dr Apt 103, Wixom, MI, 48393-3298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508285750
Provider Name
Releicia Shields
Credential
Provider Entity Type
Individual
Gender
Female
Address
27069 Pinewood Dr Apt 103, Wixom, MI, 48393-3298
Phone Number
248-939-2725
Fax Number
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27069 Pinewood Dr Apt 103
City
Wixom
State
Michigan
Zip
48393-3298
Phone Number
248-939-2725
Fax Number
person
Provider Business Mailing Address Details
Address
27069 Pinewood Dr Apt 103
City
Wixom
State
Michigan
Zip
48393-3298
Phone Number
248-939-2725
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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