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Organization

ADVANTAGE HEALTH CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA SOARES (DIRECTOR OF CLINICAL SERVICES)
(313) 829-4414
Entity
Organization

Contact information

Practice address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 835-5990
Mailing address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4704278295
MI

Other

Enumeration date
07/23/2013
Last updated
07/23/2013
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