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Organization
BEYOND BOUNDARIES
Active
Organization
BEYOND BOUNDARIES
Active
Parent organization
WOODS CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODS CARE
Authorized official
MS. GLORIA DEAN HAMILTON (CEO)
(734) 355-2624
Entity
Organization
Contact information
Practice address
5706 S WAYNE RD, WAYNE, MI 48184-2913
(734) 355-2624
(313) 331-1912
Mailing address
11274 MOORE ST., ROMULUS, MI 48174
(734) 355-2624
(313) 331-1912
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AS820313478
MI
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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