Organization
NEW LIFE DIRECT CARE STAFFING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CECELIA MCDONALD (CEO)
(313) 224-1863
Entity
Organization
Contact information
Practice address
20007 MCCORMICK ST, DETROIT, MI 48224-1147
(313) 224-1863
Mailing address
20007 MCCORMICK ST, DETROIT, MI 48224-1147
(313) 224-1863
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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