| Faith Hope & Love Outreach Center Inc | |
|
18284 James Couzens Fwy. Detroit MI 48235-2503 | |
| (313) 646-6864 | |
| Not Available |
| Full Name | Faith Hope & Love Outreach Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 18284 James Couzens Fwy., Detroit, Michigan |
| Authorized Official Name and Position | Djuana L Coats (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3136466864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Hope & Love Outreach Center Inc 18284 James Couzens Fwy. Detroit MI 48235-2503 Ph: (313) 646-6864 | Faith Hope & Love Outreach Center Inc 18284 James Couzens Fwy. Detroit MI 48235-2503 Ph: (313) 646-6864 |
| NPI Number | 1790320331 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Medicare PECOS PAC ID | 8729407507 |
|---|---|
| Medicare Enrollment ID | O20200928002311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790320331 | NPI | - | NPPES |
| Provider Name | Michelle R Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417129727 PECOS PAC ID: 6103072731 Enrollment ID: I20120814000137 |
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