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Gwendolyn D Bush
Adult Day Care Clinic/Center in Southfield, Michigan
NPI 1518548601

Gwendolyn D Bush is an Adult Day Care Clinic/Center based in Southfield, MI and is specialized in Adult Day Care. Gwendolyn D Bush practices in Southfield, MI. The NPI Number for Gwendolyn D Bush is 1518548601 and holds a License No. (Michigan).

The current practice location address for Gwendolyn D Bush is 23195 Riverside Dr, Southfield, MI and can be reached out via phone at 954-806-9411.

Location: 23195 Riverside Dr, Southfield, MI, 48033-7301
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Provider Profile Details
NPI Number
1518548601
Provider Name
Gwendolyn D Bush
Credential
Provider Entity Type
Individual
Gender
Female
Address
23195 Riverside Dr, Southfield, MI, 48033-7301
Phone Number
954-806-9411
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9521503 05 MI
institution
Provider Business Practice Location Address Details
Address
23195 Riverside Dr
City
State
Zip
48033-7301
Phone Number
954-806-9411
Fax Number
person
Provider Business Mailing Address Details
Address
23195 Riverside Dr
City
State
Zip
48033-7301
Phone Number
954-806-9411
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
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Definition
Definition to come...
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