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Organization
SNT JOSEPH MANOR HFA LLC
Active
Organization
SNT JOSEPH MANOR HFA LLC
Active
Other names
ST JOSEPH MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARRUKH M MOGHUL (OWNER)
(313) 882-3800
Entity
Organization
Contact information
Practice address
4800 CADIEUX RD, DETROIT, MI 48224-2271
(313) 882-3800
(313) 882-5940
Mailing address
4800 CADIEUX RD, DETROIT, MI 48224-2271
(313) 882-3800
(313) 882-5940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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