Mary Michelle Cassette
Individual provider Active NPI Homemaker · Woodhaven, MI
NPI 1164272001 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1164272001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 21650 Tulipwood St
Woodhaven, MI 48183-1520 - Phone
- (734) 674-2191
- NPI assigned
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
21650 Tulipwood St
Woodhaven, MI 48183-1520
Mailing address
21650 Tulipwood St
Woodhaven, MI 48183-1520
Phone (734) 674-2191
Other providers in Woodhaven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.