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Organization

MAXIM HEALTHCARE

Active
Other names
COMMONGROUND
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIANA AVILA RN (REGISTERED NURSE)
(734) 972-4717
Entity
Organization

Contact information

Practice address
783 KINGS HWY, LINCOLN PARK, MI 48146-3138
(734) 972-4714
Mailing address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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