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Organization

BEYOND BOUNDARIES

Active
Parent organization
WOODS CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
WOODS CARE
Authorized official
MS. GLORIA DEAN HAMILTON (CEO)
(734) 355-2624
Entity
Organization

Contact information

Practice address
5706 S WAYNE RD, WAYNE, MI 48184-2913
(734) 355-2624
(313) 331-1912
Mailing address
11274 MOORE ST., ROMULUS, MI 48174
(734) 355-2624
(313) 331-1912

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AS820313478
MI

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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