| Otevwa Homes Inc | |
|
6556 Rustic Ridge Trl Grand Blanc MI 48439-4956 | |
| (313) 690-0667 | |
| Not Available |
| Full Name | Otevwa Homes Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6556 Rustic Ridge Trl, Grand Blanc, Michigan |
| Authorized Official Name and Position | Tive Evwaraye (DIRECTOR) |
| Authorized Official Contact | 3136900667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otevwa Homes Inc 6556 Rustic Ridge Trl Grand Blanc MI 48439-4956 Ph: () - | Otevwa Homes Inc 6556 Rustic Ridge Trl Grand Blanc MI 48439-4956 Ph: (313) 690-0667 |
| NPI Number | 1104439033 |
|---|---|
| Provider Enumeration Date | 08/29/2020 |
| Last Update Date | 08/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104439033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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