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Organization
COMPLEX CARE CONSULTANTS LLC
Active
Organization
COMPLEX CARE CONSULTANTS LLC
Active
Other names
ComplexCare360
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA ANN FORD (MANAGING PARTNER)
(248) 787-1862
Entity
Organization
Contact information
Practice address
23767 MAUDE LEA ST, NOVI, MI 48375-3540
(248) 787-1862
Mailing address
PO BOX 654, NORTHVILLE, MI 48167-0654
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
NULL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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