| Sandrey Home Health Care Pc | |
|
4416 Blackberry Ln Lansing MI 48917-1633 | |
| (517) 775-9799 | |
| Not Available |
| Full Name | Sandrey Home Health Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4416 Blackberry Ln, Lansing, Michigan |
| Authorized Official Name and Position | Andrey B Smith (OWNER) |
| Authorized Official Contact | 5177759799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandrey Home Health Care Pc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Sandrey Home Health Care Pc 4416 Blackberry Ln Lansing MI 48917-1633 Ph: (517) 775-9799 |
| NPI Number | 1225492622 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 2860791464 |
|---|---|
| Medicare Enrollment ID | O20160503002366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225492622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301056626 (Michigan) | Primary |
| Provider Name | Andre Blair Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417920463 PECOS PAC ID: 6608905609 Enrollment ID: I20100601000639 |
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