Whalio Doctors

NPI 1144672676

God's Precious Treasures II

Organisation Exclusive Provider Organization Taylor, MI

Practice location

Address
22805 Goddard Rd, Taylor, MI 48180-4170
Phone
(734) 787-8536

Authorised official

Name
Patricia Lynn Mazyck-Simmons
Title
Social Worker
Phone
(734) 787-8536

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X

Registry record

NPI
1144672676
Entity type
Organization
NPI issued
8 Jul 2016
Record last updated
7 Dec 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.