Organization
GUARDIANSHIP NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEXIS WILSON (CASE MANAGER)
(313) 744-1039
Entity
Organization
Contact information
Practice address
26677 W 12 MILE RD STE 157, SOUTHFIELD, MI 48034-1514
(248) 731-9770
(248) 731-9735
Mailing address
26677 W 12 MILE RD STE 157, SOUTHFIELD, MI 48034-1514
(248) 731-9770
(248) 731-9735
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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