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Search › Michigan › Child Physical Disabilities Respite Care

Shawna Dietrick

NPI 1154955219 · on the registry since 2020 · sole proprietor

Practice

Address
35675 Garner St
Romulus, MI 48174
Phone
(810) 308-7991
Organisation at this address
Gracious By Your Side Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Child Physical Disabilities Respite Care
385HR2065X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan