# ISS PC URGENT CARE OHH

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

## Provider details

- **NPI number:** 1922744879
- **Authorized official:** MARVIN ARNOLD (CEO)
- **Authorized official phone:** (313) 948-8630

## Contact information

- **Practice address:** 19953 CONANT ST, DETROIT, MI 48234-1334
- **Practice address phone:** (313) 948-8630
- **Mailing address:** 19953 CONANT ST, DETROIT, MI 48234-1334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/12/2022
- **Last updated:** 05/12/2022