Provider Demographics
NPI:1316796311
Name:DEVOISE, RHONDA (HOME CARE PROVIDER)
Entity type:Individual
Prefix:MISS
First Name:RHONDA
Middle Name:
Last Name:DEVOISE
Suffix:
Gender:F
Credentials:HOME CARE PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19175 HEALY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-2151
Mailing Address - Country:US
Mailing Address - Phone:313-455-9345
Mailing Address - Fax:
Practice Address - Street 1:1966 W GRAND AVE APT 2W
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-5777
Practice Address - Country:US
Practice Address - Phone:313-735-3664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MI1316796311251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health