| Bominddy Center Llc | |
|
32744 Five Mile Rd Livonia Livonia MI 48154-3046 | |
| (800) 930-0943 | |
| (800) 970-7118 |
| Full Name | Bominddy Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 32744 Five Mile Rd, Livonia, Michigan |
| Authorized Official Name and Position | Anthony D. Vila (OWNER) |
| Authorized Official Contact | 2482316286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bominddy Center Llc 32744 Five Mile Rd Livonia Livonia MI 48154-3046 Ph: (800) 930-0943 | Bominddy Center Llc 32744 Five Mile Rd Livonia Livonia MI 48154-3046 Ph: (800) 930-0943 |
| NPI Number | 1922393511 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922393511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301076021 (Michigan) | Primary |
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