Organization
LIVING BRAVE THROUGH BREAST CANCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORZELLA RANDLE (CEO)
(248) 212-0888
Entity
Organization
Contact information
Practice address
16051 PENNSYLVANIA ST, SOUTHFIELD, MI 48075-6302
(248) 212-0888
(248) 856-0600
Mailing address
16051 PENNSYLVANIA ST, SOUTHFIELD, MI 48075-6302
(248) 212-0888
(248) 856-0600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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