Provider Demographics
NPI:1508651191
Name:CALLEBS, FELICIA SUE
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:SUE
Last Name:CALLEBS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 E WOODWARD HEIGHTS BLVD APT C5
Mailing Address - Street 2:
Mailing Address - City:HAZEL PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48030-1644
Mailing Address - Country:US
Mailing Address - Phone:248-519-3017
Mailing Address - Fax:
Practice Address - Street 1:1480 E WOODWARD HEIGHTS BLVD APT B4
Practice Address - Street 2:
Practice Address - City:HAZEL PARK
Practice Address - State:MI
Practice Address - Zip Code:48030-1637
Practice Address - Country:US
Practice Address - Phone:947-277-0575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker