# MEDICAL MISSIONARY MANAGEMENT PC

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

## Provider details

- **NPI number:** 1417257510
- **Authorized official:** DR. EVERETTE B. HAMBRIC M.D. (PRESIDENT)
- **Authorized official phone:** (313) 570-3699

## Contact information

- **Practice address:** 1002 SEMINOLE ST, DETROIT, MI 48214-2707
- **Practice address phone:** (313) 570-3699
- **Practice address fax:** (313) 331-2669
- **Mailing address:** 1002 SEMINOLE ST, DETROIT, MI 48214-2707
- **Mailing address phone:** (313) 570-3699
- **Mailing address fax:** (313) 331-2669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4301057900 | MI | Yes |
| 261QP2300X | Primary Care Clinic/Center | 4301057900 | MI | — |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 06/07/2011