Organization
SUNRISE HAVEN MINISTRY CHURCH 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M SAM (DIRECTOR)
(313) 784-8077
Entity
Organization
Contact information
Practice address
56 MIDLAND ST, HIGHLAND PARK, MI 48203-2684
(313) 784-8077
Mailing address
56 MIDLAND ST, HIGHLAND PARK, MI 48203-2684
(313) 784-8077
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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