Missionary Servants Of Divine Providence

LBN: Missionary Servants Of Divine Providence
Missionary Servants Of Divine Providence is an health care organization with primary practice located at 26629 Hopkins St , Inkster MI 48141-3111. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Missionary Servants Of Divine Providence can be contacted via phone (734) 560-5014, or through Udeagha, Justina E via phone (734) 560-5014.

Contact Information

Primary practice address
26629 Hopkins St Inkster MI 48141-3111
Phone: (734) 560-5014
Fax: (313) 633-9510
Website:
Map and Directions
Authorized official contact:
Name: Udeagha, Justina E
Phone: (734) 560-5014

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801084613 Michigan
Agencies / Community/Behavioral Health 251S00000X 6801084613 Michigan

Profile Details

NPI number 1073062725
LBN Legal business name Missionary Servants Of Divine Providence
DBA Doing business as
Authorized official Udeagha, Justina E
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2016
Last updated Mar 8th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073062725 NPPES
Michigan MEDICAID 1578772240

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