1437536802 NPI number — DETROIT RESCUE MISSION MINISTRIES

Table of content: (NPI 1437536802)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437536802 NPI number — DETROIT RESCUE MISSION MINISTRIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DETROIT RESCUE MISSION MINISTRIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437536802
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19211 ANGLIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48234-1460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-263-0077
Provider Business Mailing Address Fax Number:
313-305-5007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19211 ANGLIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48234-1460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-263-0077
Provider Business Practice Location Address Fax Number:
313-305-5007
Provider Enumeration Date:
05/05/2015

Additional Information

Authorized Official

Authorized Official Last Name:
WILSON
Authorized Official First Name:
LONDON
Authorized Official Middle Name:
Authorized Official Title or Position:
THERAPIST
Authorized Official Telephone Number:
313-263-0077

Provider Taxonomy Codes

  • Taxonomy code: 3245S0500X , with the licence number:  820317 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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