NPI 1003125063
Pro Staff Stat LLC
Practice location
- Address
- 15200 E. Jefferson Avenue, Grosse Pointe Park, MI 48230-1304
- Phone
- (313) 821-2257
- Mailing address
- 15200 E Jefferson Ave, Grosse Pointe Park, MI 48230-1304
Authorised official
- Name
- Keisha Howard
- Title
- Executive Director
- Phone
- (313) 977-6954
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1003125063
- Entity type
- Organization
- NPI issued
- 24 Sep 2010
- Record last updated
- 24 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.