Glory Visiting Physician Pc. in Southfield - Residential Treatment Facility, Physical Disabilities
Glory Visiting Physician Pc. - NPI 1669672705
Glory Visiting Physician Pc. is a Residential Treatment Facility, Physical Disabilities in Southfield, Michigan. Glory Visiting Physician Pc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Glory Visiting Physician Pc. is 1669672705. The last update date is 2015-06-08.
Glory Visiting Physician Pc.'s current location address is 30063 Rambling Rd, Southfield, Michigan. You can contact this provider via phone number 2485695476 and fax number 2484248987. The mailing address for Glory Visiting Physician Pc. is 30063 Rambling Rd, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glory Visiting Physician Pc. |
|---|---|
| Address | 30063 Rambling Rd, Southfield, Michigan |
| Phone Number | 2485695476 |
| Fax Number | 2484248987 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEUROLOGIS |
|---|---|
| Authorized Official Name | Valentine Lanette Charise |
| Credentials | M. D. |
| Telephone Number | 2485695476 |
NPI Number Detail
| NPI Number | 1669672705 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2015-06-08 |
Provider Mailing Address Detail
| Address | 30063 Rambling Rd |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480761038 |
| Phone Number | 2485695476 |
| Fax Number | 2484248987 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | 4301053752 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A16112 | MI | UPIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glory Visiting Physician Pc.?
The Glory Visiting Physician Pc. has been issued the NPI (National Provider Identifier) 1669672705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Glory Visiting Physician Pc.?
The Glory Visiting Physician Pc. is physically situated at 30063 Rambling Rd, in the city of Southfield, state of MI, with the postal code 480761038.
What is Glory Visiting Physician Pc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Glory Visiting Physician Pc. is Residential Treatment Facility, Physical Disabilities, and the corresponding taxonomy classification code for this specialized field is 320700000X.
On what date did Glory Visiting Physician Pc. receive its 1669672705 assignment from the Centers for Medicare & Medicaid Services?
The Glory Visiting Physician Pc. was assigned its 1669672705 on 2007-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Glory Visiting Physician Pc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glory Visiting Physician Pc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-08.
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