Provider Demographics
NPI:1386272029
Name:CHEHADEH, MANAL
Entity type:Individual
Prefix:
First Name:MANAL
Middle Name:
Last Name:CHEHADEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 N CANTON CENTER RD STE 181
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2651
Mailing Address - Country:US
Mailing Address - Phone:877-882-4480
Mailing Address - Fax:248-800-7272
Practice Address - Street 1:5820 N CANTON CENTER RD STE 181
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2651
Practice Address - Country:US
Practice Address - Phone:877-882-4480
Practice Address - Fax:248-800-7272
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No372500000XNursing Service Related ProvidersChore Provider
No376G00000XNursing Service Related ProvidersNursing Home Administrator