Provider Demographics
NPI:1033845094
Name:PRESSLEY, CASSANDRA RENE
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:RENE
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 CLIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-4005
Mailing Address - Country:US
Mailing Address - Phone:810-610-5942
Mailing Address - Fax:810-652-8050
Practice Address - Street 1:2039 CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-4005
Practice Address - Country:US
Practice Address - Phone:810-610-5942
Practice Address - Fax:810-652-8050
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-30
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAM250390141311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home