Healthcare Provider Details

I. General information

NPI: 1225026057
Provider Name (Legal Business Name): COUNTY OF MONROE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2353 S CUSTER RD
MONROE MI
48161-5047
US

IV. Provider business mailing address

2353 S CUSTER RD
MONROE MI
48161-5047
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-7800
  • Fax: 734-240-7815
Mailing address:
  • Phone: 734-240-7800
  • Fax: 734-240-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. REBECCA HEAD
Title or Position: HEALTH OFFICER
Credential:
Phone: 734-240-7804