NPI 1144582149

The Living Room Drop in Center

Organisation Health Maintenance Organization Detroit, MI

Practice location

Address: 700 Seward St 512, Detroit, MI 48202-2427
Phone: (313) 638-1712
Mailing address: 2780 E Grand Blvd Street 200, Detroit, MI 48202-2427

Authorised official

Name: Patricia Louise Jefferson
Title: Executive Director
Phone: (313) 623-1712

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 302R00000X (MI)

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Registry record

NPI: 1144582149
Entity type: Organization
NPI issued: 14 Jun 2012
Record last updated: 14 Jun 2012

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.