| NPI | 1649978818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASFEH MUSHEINESH Owner 313-515-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251E00000X Home Health | |
| 251S00000X | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-12-20 |