Organization
REGINA GRATIAE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD C OKOLI (DIRECTOR)
(313) 686-9517
Entity
Organization
Contact information
Practice address
4450 SYRACUSE ST, DEARBORN HEIGHTS, MI 48125-2121
(313) 686-9517
Mailing address
4450 SYRACUSE ST, DEARBORN HEIGHTS, MI 48125-2121
(313) 686-9517
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962949784
—
MI
Enumeration date
07/02/2024
Last updated
07/02/2024
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