Organization
ACTIVE HANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANERIO HILL (CEO)
(586) 453-3786
Entity
Organization
Contact information
Practice address
357 PROSPECT ST, ROMEO, MI 48065-4645
(586) 453-3786
Mailing address
357 PROSPECT, ROMEO, MI 48065
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
E7486Y
MI
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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