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NPI Code Detail

MEDICARE: DETROIT HEALTH CARE FOR THE HOMELESS

MEDICARE: DETROIT HEALTH CARE FOR THE HOMELESS
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
1261QD0000XDental Clinic/Center
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1588238323
Entity Type Code : Organization
Provider Name (Legal Business Name) : DETROIT HEALTH CARE FOR THE HOMELESS
Provider Business Mailing Address
First Line : 100 RIVER PLACE DR STE 450
Second Line :
City : DETROIT
State : MI
Zip : 48207-5402
Country : US
Telephone Number : 313-416-6220
Fax Number : 313-221-8217
Provider Business Practice Location Address
First Line : 101 E ALEXANDRINE ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2011
Country : US
Telephone Number : 313-416-6262
Fax Number : 313-221-8217
Authorized Official
Title or Position : CEO
Name : NINA ABUBAKARI
Credential :
Telephone Number : 313-416-6259
Provider Enumeration Date : 05/17/2021
Last Update Date : 07/18/2024

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Directions to “DETROIT HEALTH CARE FOR THE HOMELESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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