# HEALTHCARE ADMINISTRATIVE SERVICES LLC

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

## Provider details

- **NPI number:** 1679823389
- **Authorized official:** MRS. LATOYIA JOHNSON (OWNER)
- **Authorized official phone:** (313) 656-7179

## Contact information

- **Practice address:** 17950 WOODWARD AVE, UPPER LEVEL, DETROIT, MI 48203-2260
- **Practice address phone:** (313) 656-7179
- **Mailing address:** 17950 WOODWARD AVE, UPPER LEVEL, DETROIT, MI 48203-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 09/11/2012