| Connectere Llc | |
|
8441 Marygrove Dr Detroit MI 48221-2942 | |
| (586) 300-4477 | |
| Not Available |
| Full Name | Connectere Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8441 Marygrove Dr, Detroit, Michigan |
| Authorized Official Name and Position | Katrina Harris (OWNER) |
| Authorized Official Contact | 5863004477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connectere Llc Po Box 211172 Detroit MI 48221-5172 Ph: (586) 300-4477 | Connectere Llc 8441 Marygrove Dr Detroit MI 48221-2942 Ph: (586) 300-4477 |
| NPI Number | 1467221762 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5890130348 |
|---|---|
| Medicare Enrollment ID | O20240223003885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467221762 | NPI | - | NPPES |
| Provider Name | Katrina L Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699247866 PECOS PAC ID: 4082085220 Enrollment ID: I20230125002293 |
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