| Medical Missionary Management Pc | |
|
1002 Seminole St Detroit MI 48214-2707 | |
| (313) 570-3699 | |
| (313) 331-2669 |
| Full Name | Medical Missionary Management Pc |
|---|---|
| Speciality | Home Health |
| Location | 1002 Seminole St, Detroit, Michigan |
| Authorized Official Name and Position | Everette B. Hambric (PRESIDENT) |
| Authorized Official Contact | 3135703699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Missionary Management Pc 1002 Seminole St Detroit MI 48214-2707 Ph: (313) 570-3699 | Medical Missionary Management Pc 1002 Seminole St Detroit MI 48214-2707 Ph: (313) 570-3699 |
| NPI Number | 1417257510 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 06/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417257510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301057900 (Michigan) | Secondary |
| 251E00000X | Home Health | 4301057900 (Michigan) | Primary |
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