Provider Demographics
NPI:1538782859
Name:AL-SANKER, RUKAYA FADHIL (HOME HEALTH AID)
Entity type:Individual
Prefix:
First Name:RUKAYA
Middle Name:FADHIL
Last Name:AL-SANKER
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7754 MEAD ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1066
Mailing Address - Country:US
Mailing Address - Phone:313-978-6472
Mailing Address - Fax:
Practice Address - Street 1:7754 MEAD ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1066
Practice Address - Country:US
Practice Address - Phone:313-978-6472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide