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Contact Information

ALLEN FOSTER REDEEMER OUTREACH
18478 WYOMING AVE
DETROIT, MI48221
 Phone: 313-850-7818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ALLEN FOSTER REDEEMER OUTREACH

NPI # 1619262631
LBN Legal business name ALLEN FOSTER REDEEMER OUTREACH
Authorized official EVON ALLEN - (CHEIF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2011
Last updated 06/17/2011 - About 15 years ago
Identifiers
MI License # 6801087359
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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