# DETROIT RECEIVING HOSPITAL

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

## Provider details

- **NPI number:** 1346572278
- **Authorized official:** MS. GLORIA LARKINS VP (VICE PRESIDENT)
- **Authorized official phone:** (313) 578-2164

## Contact information

- **Practice address:** 4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
- **Practice address phone:** (313) 578-2164
- **Mailing address:** PO BOX 641450, DETROIT, MI 48264-1450
- **Mailing address phone:** (313) 578-2164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | Yes |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 02/03/2010