# ANTHEM VISITING PHYSICIANS, P.C.

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

## Provider details

- **NPI number:** 1225255110
- **Authorized official:** DR. MARLENE T MANSOUR M.D. (PRESIDENT)
- **Authorized official phone:** (313) 205-8473

## Contact information

- **Practice address:** 217 CUSTER ST, DETROIT, MI 48202-3107
- **Practice address phone:** (313) 870-9970
- **Practice address fax:** (313) 870-9971
- **Mailing address:** 217 CUSTER ST, DETROIT, MI 48202-3107
- **Mailing address phone:** (313) 870-9970
- **Mailing address fax:** (313) 870-9971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020