Sav Max Glory #2

LBN: Sav Max Glory #2
Sav Max Glory #2 is an health care organization with primary practice located at 14100 Woodward Ave , Highland Park MI 48203-2936. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Sav Max Glory #2 can be contacted via phone (313) 252-2400, or through Rifai, Mahmoud M via phone (313) 252-2400.

Contact Information

Primary practice address
14100 Woodward Ave Highland Park MI 48203-2936
Phone: (313) 252-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rifai, Mahmoud M
Phone: (313) 252-2400

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 5301008585 Michigan

Profile Details

NPI number 1124157052
LBN Legal business name Sav Max Glory #2
DBA Doing business as
Authorized official Rifai, Mahmoud M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1124157052 NPPES
Other 4522719 NABP

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