Organization
LWI QUINN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY QUINN COLMON (CEO)
(313) 506-4882
Entity
Organization
Contact information
Practice address
16583 PRAIRIE ST, SUITE NUMBER 1, DETROIT, MI 48221-2914
(313) 506-4882
(313) 341-1497
Mailing address
16583 PRAIRIE ST, SUITE NUMBER 1, DETROIT, MI 48221
(313) 506-4882
(313) 341-1497
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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