Organization
PEACE OF MINE HEALTH & HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA SMILEY-FULLER (OWNER)
(586) 804-8546
Entity
Organization
Contact information
Practice address
23001 GRAND RIVER AVE STE 100, DETROIT, MI 48219-3130
(313) 510-8861
Mailing address
23001 GRAND RIVER AVE STE 100, DETROIT, MI 48219-3130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
02/15/2024
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