Individual
MANANA HARTISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6555 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4926
(248) 592-2665
Mailing address
6555 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4926
(248) 592-2665
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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