Organization
ISS PC URGENT CARE OHH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN ARNOLD (CEO)
(313) 948-8630
Entity
Organization
Contact information
Practice address
19953 CONANT ST, DETROIT, MI 48234-1334
(313) 948-8630
Mailing address
19953 CONANT ST, DETROIT, MI 48234-1334
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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