| Midsouth Development Llc | |
|
3200 Greenfield Rd Ste 300 Dearborn MI 48120-1805 | |
| (947) 426-7055 | |
| Not Available |
| Full Name | Midsouth Development Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3200 Greenfield Rd Ste 300, Dearborn, Michigan |
| Authorized Official Name and Position | Steven J Lewis (PRESIDENT) |
| Authorized Official Contact | 9474267055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midsouth Development Llc 3200 Greenfield Rd Ste 300 Dearborn MI 48120-1805 Ph: (947) 426-7055 | Midsouth Development Llc 3200 Greenfield Rd Ste 300 Dearborn MI 48120-1805 Ph: (947) 426-7055 |
| NPI Number | 1891524385 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891524385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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