Organization
TEAM VETERAN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY VIVIAN KIRBY (OPERATIONAL MANAGER)
(313) 412-5053
Entity
Organization
Contact information
Practice address
19135 VAN DYKE ST, DETROIT, MI 48234-3347
(313) 412-5053
(313) 412-5053
Mailing address
PO BOX 66074, ROSEVILLE, MI 48066-6074
(313) 739-7982
(313) 412-5053
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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