| Grace Family Care Pc | |
|
31500 Dequindre Rd Suite 200 Warren MI 48092-1057 | |
| (586) 939-9500 | |
| (586) 939-9501 |
| Full Name | Grace Family Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31500 Dequindre Rd, Warren, Michigan |
| Authorized Official Name and Position | Manhal Naoumi (OWENER) |
| Authorized Official Contact | 2487525751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Care Pc 31500 Dequindre Rd Suite 200 Warren MI 48092-1057 Ph: (586) 939-9500 | Grace Family Care Pc 31500 Dequindre Rd Suite 200 Warren MI 48092-1057 Ph: (586) 939-9500 |
| NPI Number | 1447640172 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 11/16/2015 |
| Medicare PECOS PAC ID | 8022321413 |
|---|---|
| Medicare Enrollment ID | O20150714001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447640172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301079004 (Michigan) | Primary |
| Provider Name | Manhal H Naoumi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689643124 PECOS PAC ID: 6406892520 Enrollment ID: I20050629000532 |
| Provider Name | Rita W Naim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912164740 PECOS PAC ID: 7012168768 Enrollment ID: I20121106000670 |
| Provider Name | Dalya Shamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164657805 PECOS PAC ID: 4486899903 Enrollment ID: I20130403000409 |
| Provider Name | Raneen Zetouna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972071603 PECOS PAC ID: 9537590708 Enrollment ID: I20200504002638 |
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