Organization
WARDS HOLY MANAGEMENT OUTREACH CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDELLA DARLENE WARD NA (CEO)
(313) 655-2975
Entity
Organization
Contact information
Practice address
12410 WYOMING ST FL 2, DETROIT, MI 48204
(313) 834-4339
(313) 933-4339
Mailing address
25687 FORESTVIEW DR, SOUTHFIELD, MI 48033-2944
(313) 655-2975
(313) 933-4339
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6501333434
MI
Other
Enumeration date
11/19/2008
Last updated
11/26/2008
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