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NPI Code Detail

MEDICARE: CHALDEAN AMERICAN LADIES OF CHARITY

MEDICARE: CHALDEAN AMERICAN LADIES OF CHARITY
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
1251V00000XVoluntary or Charitable AgencyMI

General Provider Information

NPI Number : 1902213788
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHALDEAN AMERICAN LADIES OF CHARITY
Provider Business Mailing Address
First Line : 2033 AUSTIN DR
Second Line :
City : TROY
State : MI
Zip : 48083-2231
Country : US
Telephone Number : 248-528-0130
Fax Number :
Provider Business Practice Location Address
First Line : 2033 AUSTIN DR
Second Line :
City : TROY
State : MI
Zip : 48083-2231
Country : US
Telephone Number : 248-528-0130
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. SONIA ALTON
Credential :
Telephone Number : 248-528-0130
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/14/2014

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Directions to “CHALDEAN AMERICAN LADIES OF CHARITY ” Practice Location

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