Organization
IAMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RABIA LATIF (DIRECTOR)
(734) 262-4386
Entity
Organization
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(734) 262-4386
(734) 661-4501
Mailing address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(734) 262-4386
(734) 661-4501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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