NPI 1750723409

Advantage Health Centers

Organisation Exclusive Provider Organization Detroit, MI

Practice location

Address: 15400 W McNichols Rd, Detroit, MI 48235-3724
Phone: (313) 835-5990

Authorised official

Name: Patricia Soares
Title: Director of Clinical Services
Phone: (313) 829-4414

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4704278295 (MI)

Other Exclusive Provider Organization providers in Michigan →

Registry record

NPI: 1750723409
Entity type: Organization
NPI issued: 23 Jul 2013
Record last updated: 23 Jul 2013

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.