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Organization

HEALTHSOURCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SABAH VELASCO (MANAGER OF CLAIMS AND TECHNOLOGY)
(313) 966-8467
Entity
Organization

Contact information

Practice address
4707 SAINT ANTOINE ST, SUITE G20, DETROIT, MI 48201-1427
(800) 543-0161
Mailing address
PO BOX 44290, DETROIT, MI 48244-0290

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
05/23/2007
Last updated
08/22/2020
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