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Organization

SUNRISE HAVEN MINISTRY CHURCH 1

Active
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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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