Provider / Organization | NPI | Date Certified |
---|---|---|
ZEYRIA DEWITT KIMBROUGH | 1063236784 | 2024-11-09 |
Zeyria Dewitt Kimbrough is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063236784. Registration indicates Zeyria Dewitt Kimbrough is a provider of services with a specialization in Other Service Providers, Meals (Meals, Other Service Providers) (Meals, ) (Agencies, Home Health) (Home Health, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Home Health, Agencies)
Entity Type | Individual |
Provider Name | Ms. Zeyria Dewitt Kimbrough |
Practice Office Address | 8410 BRAILE ST DETROIT, MI US |
Practice Office Telephone | 3134007877 |
Mailing Address | 8410 BRAILE ST DETROIT, MI 482282808 US |
Business Telephone | 3134007877 |
Code | Practice | License No State |
---|---|---|
171400000X | ||
174200000X | Other Service Providers Meals Meals Other Service Providers Meals | |
251E00000X PRIMARY | Agencies Home Health Home Health FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse Home Health Agencies |