Sandra Brill

Individual provider Active NPI Personal Care Attendant · Rockford, MI

NPI 1649023151 · NPPES record last updated Apr 8, 2024

Key facts

NPI
1649023151
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
7362 Decosta Dr NE
Rockford, MI 49341-9392
Phone
(616) 874-9391
NPI assigned
Apr 8, 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
Personal Care Attendant 3747P1801X MI Yes

Addresses

Primary practice location

7362 Decosta Dr NE
Rockford, MI 49341-9392

Mailing address

7362 Decosta Dr NE
Rockford, MI 49341-9392
Phone (616) 874-9391

Other providers in Rockford, MI

All providers in Rockford, MI · Personal Care Attendant in Michigan

Sources for this page

Verify at the official NPI Registry.