Most Relevant Information
Provider Data
| NPI Number: | 1003374729 |
| Provider Name: | SHARRON GENEVA DAVIS HOME CARE PROVIDER |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: | 802039433 |
Most Important Dates
| Enumeration Date: | 03/12/2019 |
| Last Updated: | 03/12/2019 |
Provider Practice Location
440 CHERRY GROVE RD
CANTON
MI
481885260
Practice Location Phone/Fax
| Phone: | 7348289154 |
| Fax: |
Provider Mailing Location
440 CHERRY GROVE RD
CANTON
MI
481885260
Provider Mailing Phone/Fax
| Phone: | 7348289153 |
| Fax: |