Organization
CCS-OAKLAND LLC
Active
Other names
CCS-Oakland LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FANELLI CCP (PRESIDENT)
(734) 525-9712
Entity
Organization
Contact information
Practice address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(734) 525-9712
Mailing address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(734) 525-9712
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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