Organization
ALMA CARE VISITING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISLENE DELVA PA (ADMINISTRATOR)
(313) 575-8111
Entity
Organization
Contact information
Practice address
11352 GABRIEL ST, ROMULUS, MI 48174-1431
(313) 575-8111
(734) 713-6709
Mailing address
11352 GABRIEL ST, ROMULUS, MI 48174-1431
(313) 575-8111
(734) 713-6709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
01864-1/8963899
NY
363AM0700X
Medical Physician Assistant
5601007382
MI
Other
Enumeration date
11/01/2016
Last updated
12/22/2016
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