IndividualActive
Shawna Dietrick
NPI 1154955219 · Child Physical Disabilities Respite Care · Romulus, MI
Provider details
- NPI number
- 1154955219
- Entity type
- Individual
- Primary specialty
- Child Physical Disabilities Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
- License
- D362765135841 (MI)
Specialties & taxonomies
Respite Care Facility
Practice location
35675 Garner St
Romulus, MI 48174-4129
Phone: (810) 308-7991
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 74083
Romulus, MI 48174-0083
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.