Organization
OUR SPECIAL GEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENDEN SAVANAH FAVORS (CEO/OWNER)
(313) 207-6571
Entity
Organization
Contact information
Practice address
9116 GRAYFIELD, REDFORD, MI 48239-1132
(313) 207-6571
Mailing address
9116 GRAYFIELD, REDFORD, MI 48239-1132
(313) 207-6571
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
MI
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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