Provider Demographics
NPI:1508323445
Name:CHANDLER, TUROME (RN, BSN)
Entity Type:Individual
Prefix:
First Name:TUROME
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:CHANDLER
Other - Middle Name:
Other - Last Name:HOME HEALTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18203 REED ST
Mailing Address - Street 2:
Mailing Address - City:MELVINDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48122-1522
Mailing Address - Country:US
Mailing Address - Phone:313-828-0121
Mailing Address - Fax:
Practice Address - Street 1:18203 REED ST
Practice Address - Street 2:
Practice Address - City:MELVINDALE
Practice Address - State:MI
Practice Address - Zip Code:48122-1522
Practice Address - Country:US
Practice Address - Phone:313-828-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health