Organization
HEALTHY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY PATRICE JONES RD (ADMINISTRATOR)
(313) 952-3328
Entity
Organization
Contact information
Practice address
17250 W 12 MILE RD, SUITE 117, SOUTHFIELD, MI 48076-2127
(313) 952-3328
Mailing address
17250 W 12 MILE RD, SUITE 117, SOUTHFIELD, MI 48076-2127
(313) 952-3328
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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