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Jasmin Gillom
Home Health Agency in Port Huron, Michigan
NPI 1700646148

Jasmin Gillom is a Home Health Agency based in Roseville, MI. Jasmin Gillom practices in Port Huron, MI. The NPI Number for Jasmin Gillom is 1700646148 and holds a License No. (Michigan).

The current practice location address for Jasmin Gillom is 1416 6Th St Apt 1, Port Huron, MI and can be reached out via phone at 313-690-5055. You can also correspond with Jasmin Gillom through the mailing address at 28459 HOLLYWOOD ST, ROSEVILLE, MI - 48066-2599 (mailing address contact number: 313-690-5055).

Location: 1416 6Th St Apt 1, Port Huron, MI, 48066-2599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700646148
Provider Name
Jasmin Gillom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1416 6Th St Apt 1, Port Huron, MI, 48066-2599
Phone Number
313-690-5055
Fax Number
Provider Enumeration Date
03/21/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1416 6Th St Apt 1
City
Port Huron
State
Michigan
Zip
48060-5982
Phone Number
313-690-5055
Fax Number
person
Provider Business Mailing Address Details
Address
1416 6Th St Apt 1
City
Port Huron
State
Michigan
Zip
48060-5982
Phone Number
313-690-5055
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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