Organization
COMPLEX CARE CONSULTANTS LLC
Active
Other names
ComplexCare360
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA ANN FORD (MANAGING PARTNER)
(248) 787-1862
Entity
Organization
Contact information
Practice address
23767 MAUDE LEA ST, NOVI, MI 48375-3540
(248) 787-1862
Mailing address
PO BOX 654, NORTHVILLE, MI 48167-0654
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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