Individual provider · Type 1 NPI

Juanita Charleston

Contractor · Detroit, MI

NPI number 1134745995 Active

Practice location

15941 Fairfield St
Detroit, MI 48238-4123

Call (313) 855-6035 Map

Fax (313) 345-4592

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1134745995

Juanita Charleston's National Provider Identifier is 1134745995, issued on Jun 17, 2020. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 17, 2020.