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General NPI Number Information
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NPI Number | 1033631775
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Entity Type | Organization
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Legal Business Name | AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEASTERN MI INC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 4880 LAWNDALE ST
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City | DETROIT
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State | MI
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Zip | 48210-2010
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Country | US
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Telephone | 313-846-3718
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Fax | 313-846-0150
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Provider Business Mailing Address
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Address Line | 4880 LAWNDALE ST
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City | DETROIT
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State | MI
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Zip | 48210-2010
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Country | US
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Telephone | 313-846-3718
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Fax | 313-846-0150
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Authorized Official
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Title or Position | BILLING /CREDENTIALING
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Name | MS. CHLOE BEARD
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Credential |
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Telephone | 313-846-3718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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