Home Of New Vision

NPI 1457565202 - Clinic/Center - 261QR0405X

NPI Details
NPI 1457565202
Enumeration Date 05/10/2007
Last Updated 05/31/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLYNIS A GLYNIS
Position CEO
Phone (734) 975-1602
Fax (734) 975-1604
Practice Location
3115 PROFESSIONAL DRIVE
ANN ARBOR MI, 48104, US
Phone (734) 975-1602
Fax (734) 975-1604
Business Location
3115 PROFESSIONAL DRIVE
ANN ARBOR MI, 48104, US
Phone (734) 975-1602
Fax (734) 975-1604
Toxanomy
Taxonomy Code 261QR0405X
License State Michigan
License Number 810265
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According to our database, Home Of New Vision NPI is 1457565202, taxonomy code is 261QR0405X and license number is 810265, license state is located at Michigan. Home Of New Vision physically located at 3115 Professional Drive, Ann Arbor MI, 48104. NPI Number 1033115704 has the healthcare provider type.

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1457565202 NPI number is provided on an as is basis without warranty of any kind. 1457565202 is maintained by the National Plan & Provider Enumeration System. The contents of Home Of New Vision are for informational purposes only.