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Organization
DETROIT RECEIVING HOSPITAL
Active
Organization
DETROIT RECEIVING HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA LARKINS VICE PRESIDENT (VICE PRESIDENT FINANCE)
(313) 578-2164
Entity
Organization
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-3233
(313) 578-3964
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-3233
(313) 578-3964
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4474069
—
MI
Enumeration date
12/08/2008
Last updated
04/28/2009
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