Glory Visiting Physician Pc.
LBN: Glory Visiting Physician Pc.
Glory Visiting Physician Pc. is an health care organization with primary practice located at 4245 S Beech Daly St , Dearborn Hts MI 48125-1567. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty.
Glory Visiting Physician Pc. can be contacted via phone (248) 569-5476, or through Valentine, Charise Lanette via phone (248) 569-5476.
Contact Information
Primary practice address
4245 S Beech Daly St
Dearborn Hts MI 48125-1567
Phone: (248) 569-5476
Fax: (248) 424-8987
Website:
Authorized official contact:
Name: Valentine, Charise Lanette Doctor of Medicine (MD)
Phone: (248) 569-5476
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities | 320700000X | 4301053752 | Michigan |
Profile Details
| NPI number | 1669672705 |
|---|---|
| LBN Legal business name | Glory Visiting Physician Pc. |
| DBA Doing business as | |
| Authorized official | Valentine, Charise Lanette Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Jun 8th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669672705 | NPPES |
| Michigan | Other | A16112 | UPIN |
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