Organization
MISSIONARY SERVANTS OF DIVINE PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINA E UDEAGHA (ADMINISTRATOR/ DIRECTOR)
(734) 560-5014
Entity
Organization
Contact information
Practice address
26629 HOPKINS ST, INKSTER, MI 48141-3111
(734) 560-5014
(313) 633-9510
Mailing address
4101 MOORE ST, INKSTER, MI 48141-3017
(734) 560-5014
(313) 633-9510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801084613
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801084613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578772240
—
MI
Enumeration date
09/22/2016
Last updated
03/08/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up