| Lifespan Clinical Services | |
|
30000 Hiveley St Inkster MI 48141-1089 | |
| (248) 615-9730 | |
| (248) 615-1260 |
| Full Name | Lifespan Clinical Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 30000 Hiveley St, Inkster, Michigan |
| Authorized Official Name and Position | Ann Kalass (CHEIF EXECUTIVE OFFICE) |
| Authorized Official Contact | 2486159730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Clinical Services 30000 Hiveley St Inkster MI 48141-1089 Ph: (248) 615-9730 | Lifespan Clinical Services 30000 Hiveley St Inkster MI 48141-1089 Ph: (248) 615-9730 |
| NPI Number | 1184865776 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 11/05/2009 |
| Medicare PECOS PAC ID | 0143361170 |
|---|---|
| Medicare Enrollment ID | O20100112000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184865776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Michigan) | Primary |
| Provider Name | Malini R Shenava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336248905 PECOS PAC ID: 1951350909 Enrollment ID: I20090209000088 |
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