Organization
OPEN DOOR FAMILY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMADOU NDIAYE (NURSING DIRECTOR)
(586) 218-8570
Entity
Organization
Contact information
Practice address
16320 E 9 MILE RD, EASTPOINTE, MI 48021-2440
(586) 218-8570
(586) 944-2731
Mailing address
16320 E 9 MILE RD, EASTPOINTE, MI 48021-2440
(586) 218-8570
(586) 944-2731
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AS630312762
MI
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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