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Organization
CHAMPIONS FOREVER, LLC
Active
Organization
CHAMPIONS FOREVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BRUCE MCNEAL (DIRECTOR)
(248) 864-8860
Entity
Organization
Contact information
Practice address
24355 W 10 MILE RD, SOUTHFIELD, MI 48033-2929
(248) 864-8860
(248) 281-6905
Mailing address
PO BOX 2819, SOUTHFIELD, MI 48037-2819
(248) 864-8860
(248) 281-6905
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/20/2024
Last updated
09/10/2024
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