NPI | 1316000391 |
---|---|
Former Legal Business Name | DIVERSIFIED HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | RANDALL TENT Member 248-477-0380 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301004443) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-08-22 |