Organization
BENEVOLENT HEALTH CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMIKA BLACK (BUSINESS ADMINISTRATOR)
(248) 910-7972
Entity
Organization
Contact information
Practice address
23999 NORTHWESTERN HWY, STE 114, SOUTHFIELD, MI 48075-2578
(248) 910-7972
Mailing address
19436 LAUDER ST, DETROIT, MI 48235-1944
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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