Execu-tech Manor

NPI 1366528747 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1366528747
Enumeration Date 10/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH A JOSEPH
Position EXECUTIVE DIRECTOR
Phone (313) 396-0100
Fax (313) 396-0105
Practice Location
2751 E JEFFERSON AVE
SUITE 500
DETROIT MI, 48207-4180, US
Phone (313) 396-0100
Fax (313) 396-0105
Business Location
2751 E JEFFERSON AVE
SUITE 500
DETROIT MI, 48207-4180, US
Phone (313) 396-0100
Fax (313) 396-0105
Toxanomy
Taxonomy Code 251S00000X
License State Michigan
License Number L796463
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According to our database, Execu-tech Manor NPI is 1366528747, taxonomy code is 251S00000X and license number is L796463, license state is located at Michigan. Execu-tech Manor physically located at 2751 E Jefferson Ave, Detroit MI, 48207-4180. NPI Number 1033115704 has the healthcare provider type.

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1366528747 NPI number is provided on an as is basis without warranty of any kind. 1366528747 is maintained by the National Plan & Provider Enumeration System. The contents of Execu-tech Manor are for informational purposes only.