# GREENVINE MEDICAL STAFFING GROUP

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

## Provider details

- **NPI number:** 1285354134
- **Authorized official:** GEORGE WATSON BSME, MHA (MANAGING DIRECTOR)
- **Authorized official phone:** (810) 373-9387

## Contact information

- **Practice address:** 35248 PALMER RD, WESTLAND, MI 48186-4458
- **Practice address phone:** (810) 373-9387
- **Mailing address:** PO BOX 3164, SOUTHFIELD, MI 48037-3164
- **Mailing address phone:** (810) 373-9387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2022
- **Last updated:** 08/31/2022