Amanda J Benoit

Individual provider Active NPI In Home Supportive Care Agency · Burton, MI

NPI 1508618299 · NPPES record last updated Apr 4, 2024

Key facts

NPI
1508618299
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
3291 Eastgate St
Burton, MI 48519-1554
Phone
(810) 814-6539
NPI assigned
Apr 4, 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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

3291 Eastgate St
Burton, MI 48519-1554

Mailing address

3291 Eastgate St
Burton, MI 48519-1554
Phone (810) 814-6539

Other providers in Burton, MI

All providers in Burton, MI · In Home Supportive Care Agency in Michigan

Sources for this page

Verify at the official NPI Registry.