Healthcare Provider Details

I. General information

NPI: 1699161034
Provider Name (Legal Business Name): PARTNERS 4 HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 OAKMAN BLVD STE C
DETROIT MI
48238-2958
US

IV. Provider business mailing address

882 OAKMAN BLVD STE C
DETROIT MI
48238-2958
US

V. Phone/Fax

Practice location:
  • Phone: 313-468-5207
  • Fax:
Mailing address:
  • Phone: 313-468-5207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA JOYCE LITTLE
Title or Position: PRESIDENT & CEO
Credential: MBA, RN, CCM
Phone: 313-961-4890