# HEGIRA

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

## Provider details

- **NPI number:** 1881061752
- **Authorized official:** STANTAVIUS BUCKNER (CASE MANAGER)
- **Authorized official phone:** (734) 624-7941

## Contact information

- **Practice address:** 37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
- **Practice address phone:** (734) 458-4601
- **Mailing address:** 37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
- **Mailing address phone:** (734) 458-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2015
- **Last updated:** 08/27/2015