National Provider Identifier Database

D WALLACE HEALTH PROMOTION AND WELLNESS
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

D WALLACE HEALTH PROMOTION AND WELLNESS
15730 MOK AVE
EASTPOINTE, MI48021-2367
Phone: 313-415-1538
Fax: 586-585-9555
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for D WALLACE HEALTH PROMOTION AND WELLNESS

NPI Number 1205347812
Legal business name
LBN
D WALLACE HEALTH PROMOTION AND WELLNESS
Authorized official DIONNE WALLACE - (FOUNDER/CHIEF ADMINISTATOR)
Entity Organization
Organization subpart No
Enumeration date 10/23/2017
Last updated 10/23/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4704260135

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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