Organization
AMERICA OUTREACH AGENCY
Active
Other names
America Outreach
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGENA YVETTE WALLER LICENSED (OWNER)
(313) 918-5835
Entity
Organization
Contact information
Practice address
11677 MANSFIELD ST, DETROIT, MI 48227-1170
(313) 918-5835
Mailing address
11677 MANSFIELD ST, DETROIT, MI 48227-1170
(313) 918-5835
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
112227
MI
Other
Enumeration date
05/14/2013
Last updated
06/03/2013
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