Organization
PRIORITY SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VESTA M HAND (OWNER)
(313) 918-8252
Entity
Organization
Contact information
Practice address
14550 INDIANA ST, DETROIT, MI 48238-1743
(313) 918-8252
Mailing address
PO BOX 4819, DETROIT, MI 48204-0819
(313) 918-8252
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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