Individual provider · Type 1 NPI
Sophia Lorraine Anderson
Adult Day Care Clinic/Center · St. Clair Shores, MI
NPI number
1992183388
Active
Practice location
22828 Gaukler St, 22828 Gaukler Street
St. Clair Shores, MI 48080-2543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | A536772546878 (MI) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1992183388
Sophia Lorraine Anderson's National Provider Identifier is 1992183388, issued on May 18, 2015. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in St. Clair Shores, MI. The record was last updated on May 18, 2015.