Organization
LOLITA CHANDLER
Active
Other names
quality care center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOLITA CHANDLER (OWNER)
(313) 368-0005
Entity
Organization
Contact information
Practice address
19953 CONANT ST, DETROIT, MI 48234-1334
(248) 291-5801
Mailing address
19953 CONANT, DETROIT, MI 48237-2535
(313) 740-2672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801080545
MI
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
5501004655
MI
Other
Enumeration date
02/07/2013
Last updated
05/02/2014
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