Generational Community Center Llc | |
15510 Thatcher St Detroit MI 48235-3122 | |
(313) 656-7105 | |
Not Available |
Full Name | Generational Community Center Llc |
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Speciality | Community Health Worker |
Location | 15510 Thatcher St, Detroit, Michigan |
Authorized Official Name and Position | Sandra Vinson (ADMINSTRATOR) |
Authorized Official Contact | 3136567105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Generational Community Center Llc 15510 Thatcher St Detroit MI 48235-3122 Ph: (313) 656-7105 | Generational Community Center Llc 15510 Thatcher St Detroit MI 48235-3122 Ph: (313) 656-7105 |
NPI Number | 1255001087 |
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Provider Enumeration Date | 09/14/2021 |
Last Update Date | 09/14/2021 |
Certification Date | 09/14/2021 |
Identifier | Type | State | Issuer |
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1255001087 | NPI | - | NPPES |
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