Organization
DETROIT UNITED VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIERA BENSON (REVENUE CYCLE MANAGER)
(313) 856-2636
Entity
Organization
Contact information
Practice address
2500 W PHILADELPHIA ST, DETROIT, MI 48206-2494
(313) 427-4164
Mailing address
2500 W PHILADELPHIA ST, DETROIT, MI 48206-2494
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/10/2019
Last updated
11/17/2019
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