NPI 1083809297

Henry Ford Health System

Organisation PACE Provider Organization Detroit, MI

Practice location

Address: 7800 W Outer Dr Ste.240, Detroit, MI 48235-3461
Phone: (313) 653-2020
Fax: (313) 653-2779

Authorised official

Name: Michael Simowski
Title: Executive Director
Phone: (313) 653-2222

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence H2318 (MI)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Michigan →

Registry record

NPI: 1083809297
Entity type: Organization
NPI issued: 11 Sep 2007
Record last updated: 29 Jul 2008

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.