Organization
ANTHEM VISITING PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLENE T MANSOUR M.D. (PRESIDENT)
(313) 205-8473
Entity
Organization
Contact information
Practice address
217 CUSTER ST, DETROIT, MI 48202-3107
(313) 870-9970
(313) 870-9971
Mailing address
217 CUSTER ST, DETROIT, MI 48202-3107
(313) 870-9970
(313) 870-9971
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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