# PEACE OF MINE HEALTH & HUMAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063281152
- **Authorized official:** ALICIA SMILEY-FULLER (OWNER)
- **Authorized official phone:** (586) 804-8546

## Contact information

- **Practice address:** 23001 GRAND RIVER AVE STE 100, DETROIT, MI 48219-3130
- **Practice address phone:** (313) 510-8861
- **Mailing address:** 23001 GRAND RIVER AVE STE 100, DETROIT, MI 48219-3130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2023
- **Last updated:** 02/15/2024