Organization
SOJOURNER TRUTH IN HOME HEALTH CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN RENEE TIBBS MSCMH (PRESIDENT)
(313) 862-1167
Entity
Organization
Contact information
Practice address
16140 NORTHLAWN ST, DETROIT, MI 48221-2950
(313) 862-1167
Mailing address
16140 NORTHLAWN ST, DETROIT, MI 48221-2950
(313) 862-1167
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
MI
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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