NPI | 1871281121 |
---|---|
Doing Business As | KERI HEART MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | LAQUANDA DAVIS Lmsw 313-749-9118 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-04-25 |
Last Update Date | 2025-03-26 |