Organization
SECOND CHANCE HOMES
Active
Parent organization
MARY KATHERINES CHARITIES
Other names
MARY KATHERINES CHARITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY KATHERINES CHARITIES
Authorized official
MR. OKEZIE WACHUKU (EXECUTIVE DIRECTOR)
(586) 339-6101
Entity
Organization
Contact information
Practice address
17300 SCHAEFER HWY # A-2, DETROIT, MI 48235-4133
(586) 339-6101
Mailing address
17300 SCHAEFER HWY # A-2, DETROIT, MI 48235-4133
(586) 339-6101
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
71608N
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71608N
STATE OF MICHIGAN
MI
Enumeration date
05/12/2015
Last updated
05/12/2015
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