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Glory Visiting Physician Pc.
Physical Disabilities Residential Treatment Facility in Dearborn Hts, Michigan
NPI 1669672705

Glory Visiting Physician Pc. is a Physical Disabilities Residential Treatment Facility based in Southfield, MI. Glory Visiting Physician Pc. practices in Dearborn Hts, MI. The NPI Number for Glory Visiting Physician Pc. is 1669672705 and holds a License No. 4301053752 (Michigan).

The current practice location address for Glory Visiting Physician Pc. is 4245 S Beech Daly St, Dearborn Hts, MI and can be reached out via phone at 248-569-5476 and via fax at 248-424-8987.

Location: 4245 S Beech Daly St, Dearborn Hts, MI, 48076-1038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669672705
Provider Name
Glory Visiting Physician Pc.
Credential
Provider Entity Type
Organization
Address
4245 S Beech Daly St, Dearborn Hts, MI, 48076-1038
Phone Number
248-569-5476
Fax Number
248-424-8987
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
A16112 01 MI UPIN
institution
Provider Business Practice Location Address Details
Address
4245 S Beech Daly St
City
Dearborn Hts
State
Michigan
Zip
48125-1567
Phone Number
248-569-5476
Fax Number
248-424-8987
person
Provider Business Mailing Address Details
Address
4245 S Beech Daly St
City
Dearborn Hts
State
Michigan
Zip
48125-1567
Phone Number
248-569-5476
Fax Number
248-424-8987
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
4301053752 (Michigan)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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