Organization
MEGAL GRACE CARE LLC
Active
Other names
Megal Grace Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UZOMA RAYMOND ONYEMAIZU OWNER (AGENCY OWNER)
(313) 854-8280
Entity
Organization
Contact information
Practice address
3250 BEECH DALY RD, INKSTER, MI 48141-2676
(313) 854-8280
Mailing address
3250 BEECH DALY RD, INKSTER, MI 48141-2676
(313) 854-8280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20210802294741
—
MI
Enumeration date
01/04/2022
Last updated
01/04/2022
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