NPI 1306390737

Nikeyla Blakeney

Practitioner Physical Disabilities Residential Treatment Facility Detroit, MI

Practice location

Address: 15384 Freeland St, Detroit, MI 48227-2911
Phone: (313) 758-9151

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 320700000X (MI)

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Registry record

NPI: 1306390737
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2016
Record last updated: 15 Aug 2016

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.