Provider Demographics
NPI:1548737315
Name:HANEY, FRANCES LILLIAN (CNA)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:LILLIAN
Last Name:HANEY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25225 GREENFIELD RD APT 618
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2159
Mailing Address - Country:US
Mailing Address - Phone:313-293-9990
Mailing Address - Fax:
Practice Address - Street 1:25225 GREENFIELD RD APT 618
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2159
Practice Address - Country:US
Practice Address - Phone:313-293-9990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI238289571095376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty