Organization
MATGLOCO MINISRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT PEARSON (PRESIDENT/CEO)
(313) 400-4456
Entity
Organization
Contact information
Practice address
24609 S LAKEVIEW CT, APT 202, FARMINGTON HILLS, MI 48335-2457
(313) 400-4456
Mailing address
24609 S LAKEVIEW CT, APT 202, FARMINGTON HILLS, MI 48335-2457
(313) 400-4456
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
68076557
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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