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Organization

PRO CARE HELATH PLAN INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROBIN COLE MSN, MBA (COO)
(313) 925-0228
Entity
Organization

Contact information

Practice address
3956 MOUNT ELLIOTT ST, DETROIT, MI 48207-1841
(313) 925-4607
(313) 925-0472
Mailing address
3956 MOUNT ELLIOTT ST, DETROIT, MI 48207-1841
(313) 925-4607
(313) 925-0472

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3290657
MI DEPT. OF COMM. HEALTH
MI
Enumeration date
01/05/2007
Last updated
08/22/2020
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