Organization
A SERVANTS HEART GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN STANFORD (OWNER)
(248) 773-2526
Entity
Organization
Contact information
Practice address
20130 PORTAGE TRL, CLINTON TOWNSHIP, MI 48038-4944
(248) 773-2526
Mailing address
20130 PORTAGE TRL, CLINTON TOWNSHIP, MI 48038-4944
(248) 773-2526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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