Community Care Associates

NPI 1023169703 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1023169703
Enumeration Date 01/16/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHLEEN D KATHLEEN
Position PRESIDENT
Phone (313) 999-7603
Fax (313) 656-6008
Practice Location
300 RIVER PLACE DR
SUITE 2500
DETROIT MI, 48207-4457, US
Phone (313) 999-7603
Fax (313) 656-6008
Business Location
300 RIVER PLACE DR
SUITE 2500
DETROIT MI, 48207-4457, US
Phone (313) 999-7603
Fax (313) 656-6008
Toxanomy
Taxonomy Code 302F00000X
License State Michigan
License Number =========
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According to our database, Community Care Associates NPI is 1023169703, taxonomy code is 302F00000X and license number is =========, license state is located at Michigan. Community Care Associates physically located at 300 River Place Dr, Detroit MI, 48207-4457. NPI Number 1033115704 has the healthcare provider type.

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1023169703 NPI number is provided on an as is basis without warranty of any kind. 1023169703 is maintained by the National Plan & Provider Enumeration System. The contents of Community Care Associates are for informational purposes only.