NPI: 1295123180 · DETROIT, MI 48213 · Podiatrist · NPI assigned 12/31/2014
| Authorized Official | PHILLIPS, JACQUELINE (PRESIDENT) |
| NPI Enumeration Date | 12/31/2014 |
Other providers sharing the same authorized official: PHILLIPS, JACQUELINE
| Provider | City | State | Total Paid |
|---|---|---|---|
| PERSONAL CARE HOME HEALTH SVCS., LLC | SAINT LOUIS | MO | $130K |
| HEALING WATERS/LIFE CHANGERS LLC | HARTFORD | CT | $73K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 92 | $5K |