MEDICARE: SEEME OUTREACH MINISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1023245321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEME OUTREACH MINISTRY

Provider Business Mailing Address
First Line	:	13133 LASALLE BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48238-3549
Country	:	US
Telephone Number	:	313-918-9232
Fax Number	:

Provider Business Practice Location Address
First Line	:	9738 NARDIN DR
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-1756
Country	:	US
Telephone Number	:	313-918-9232
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SIMI ONAYEMI
Credential	:
Telephone Number	:	313-918-9232

Provider Enumeration Date	:	06/15/2009
Last Update Date	:	06/25/2009

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Directions to “SEEME OUTREACH MINISTRY ” Practice Location

Language	Start Address	Practice Location

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