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Organization
DETROIT INFANT HEALTH
Active
Organization
DETROIT INFANT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVOHN ROWSER (OWNER)
(248) 417-0752
Entity
Organization
Contact information
Practice address
30201 ORCHARD LAKE RD BLDG 112, FARMINGTON HILLS, MI 48334-2277
(248) 592-0288
Mailing address
30201 ORCHARD LAKE RD BLDG 112, FARMINGTON HILLS, MI 48334-2277
(248) 592-0288
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
12/09/2015
Last updated
10/17/2016
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