Organization
ANDERSON HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD MANUEL ANDERSON JR. CACM,CPCM,NCGCII (CEO)
(313) 205-0411
Entity
Organization
Contact information
Practice address
16615 BLACKSTONE ST, DETROIT, MI 48219-3854
(313) 995-7425
Mailing address
28366 FRANKLIN RIVER DR, 106, SOUTHFIELD, MI 48034-5480
(248) 996-8478
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
822780
MI
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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