Provider Demographics
NPI:1518269083
Name:SALLIE HAMILTON PERSONNEL
Entity Type:Organization
Organization Name:SALLIE HAMILTON PERSONNEL
Other - Org Name:TEA FOR TWO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUKKONEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-769-4839
Mailing Address - Street 1:900 VICTORS WAY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2735
Mailing Address - Country:US
Mailing Address - Phone:734-769-4839
Mailing Address - Fax:734-769-4848
Practice Address - Street 1:900 VICTORS WAY
Practice Address - Street 2:SUITE 250
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2735
Practice Address - Country:US
Practice Address - Phone:734-769-4839
Practice Address - Fax:734-769-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care