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Latisha Blackwell

NPI 1871850941 · on the registry since 2012 · sole proprietor

Practice

Address
58 Hill St
River Rouge, MI 48218
Phone
(313) 138-2820
Organisation at this address
Activating Transitions Caregivers And Companions
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 19401 Northline Rd, Southgate, MI

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Also registered as
3747P1801X
3747P1801X
3747A0650X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-14

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