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Organization

112 GROUP

Active
Other names
Real Time Care
Organization subpart
No

Provider details

NPI number
Authorized official
MFON UMANA-ODEI (OPERATIONS MANAGER)
(586) 239-0688
Entity
Organization

Contact information

Practice address
45034 RIVERWOODS DR, MACOMB, MI 48044-5780
(586) 239-0688
(586) 239-0688
Mailing address
42211 GARFIELD RD STE 231, CLINTON TOWNSHIP, MI 48038-1648
(586) 239-0688
(586) 239-0689

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
07/20/2017
Last updated
07/20/2017
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