NPI 1003583402

Shonda Rushing

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Dearborn, MI

Practice location

Address: 2941 S Gulley Rd, Dearborn, MI 48124-3160
Phone: (313) 278-3040

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Registry record

NPI: 1003583402
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2021
Record last updated: 24 Aug 2021

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.