NPI | 1235901521 |
---|---|
Doing Business As | FAMILY MEDICAL CENTER-MANOR ELEMENTARY |
Entity Type | Organization |
Authorized Contact | ED LARKINS CEO 734-850-6914 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2023-10-30 |