Provider Demographics
NPI:1225812316
Name:STRONG SISTERS SURVIVE IT ALL
Entity Type:Organization
Organization Name:STRONG SISTERS SURVIVE IT ALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARETAKER
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:HANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-554-6173
Mailing Address - Street 1:27808 GLENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1584
Mailing Address - Country:US
Mailing Address - Phone:586-554-6173
Mailing Address - Fax:
Practice Address - Street 1:27808 GLENWOOD ST
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1584
Practice Address - Country:US
Practice Address - Phone:586-554-6173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health