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Organization

MY TACTICAL ADVANTAGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TAREEQ ELMORE (CEO/ OWNER)
(313) 544-8229
Entity
Organization

Contact information

Practice address
13305 W 7 MILE RD, DETROIT, MI 48235-1340
(313) 544-8229
Mailing address
13305 W 7 MILE RD, DETROIT, MI 48235-1340
(313) 544-8229

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
01/23/2017
Last updated
01/23/2017
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