| Dora And Ruby | |
|
33432 Oakland St Farmington MI 48335-3537 | |
| (248) 987-4575 | |
| Not Available |
| Full Name | Dora And Ruby |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33432 Oakland St, Farmington, Michigan |
| Authorized Official Name and Position | Lachelle Bussell (PRESIDENT) |
| Authorized Official Contact | 2489874575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dora And Ruby 33432 Oakland St Farmington MI 48335-3537 Ph: (248) 987-4575 | Dora And Ruby 33432 Oakland St Farmington MI 48335-3537 Ph: (248) 987-4575 |
| NPI Number | 1174369284 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174369284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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