NPI 1013405505

Sally Anne Campbell

Practitioner Adult Care Home Facility Clarkston, MI

Practice location

Address: 8275 Pine Knob Rd, Clarkston, MI 48348-3735
Phone: (248) 872-9872

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AF360384113 (MI)

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Registry record

NPI: 1013405505
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2018
Record last updated: 30 Apr 2018

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.