Organization
CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE HILL VICE PRESIDENT (VICE PRESIDENT FINANCE)
(313) 578-8564
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 578-2564
(313) 578-3964
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 578-2564
(313) 578-3964
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
08/22/2020
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