NPI 1053760926

Circle of Life Mihp LLC

Organisation Early Intervention Provider Agency Taylor, MI

Practice location

Address: 23403 Haig St, Taylor, MI 48180-3425
Phone: (734) 673-6860

Authorised official

Name: Tanesha Hunter
Title: Coo
Phone: (734) 673-6860

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1053760926
Entity type: Organization
NPI issued: 10 Jun 2016
Record last updated: 10 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.