Organization
CONNECT CARE NETWORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTE RESPRESS (CERTIFIED NURSE TECHNICIAN)
(313) 372-7126
Entity
Organization
Contact information
Practice address
19761 ANNOTT ST, DETROIT, MI 48205-1603
(313) 372-7126
(313) 372-7126
Mailing address
19761 ANNOTT ST, DETROIT, MI 48205-1603
(313) 372-7126
(313) 372-7126
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
MI
320700000X
Physical Disabilities Residential Treatment Facility
—
MI
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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