Organization
MOTHER'S FRIEND MIHP2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DASHUNA R JOHNSON RN (CEO/ADMINISTRATOR)
(248) 559-5722
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR, SOUTHFIELD, MI 48075-5205
(248) 559-5722
Mailing address
16250 NORTHLAND DR, SOUTHFIELD, MI 48075-5205
(248) 559-5722
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
4704217671
MI
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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