Organization
MOTHER'S FRIEND MATERNAL/INFANT SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DASHUNA RELIEU JOHNSON RN (CEO)
(248) 559-5722
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR, SOUTHFIELD, MI 48075-5208
(248) 559-5722
(248) 559-5622
Mailing address
14401 GREENVIEW RD, DETROIT, MI 48223-2913
(248) 559-5722
(248) 559-5622
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4556235
—
MI
Enumeration date
09/06/2005
Last updated
08/22/2020
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