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Contact Information

GRACIOUS OUTREACH MINISTRIES
17336 W 12 MILE RD
SOUTHFIELD, MI48076-2113
 Phone: 313-739-3352
 Fax: 313-887-4081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for GRACIOUS OUTREACH MINISTRIES

NPI Number 1922251545
LBN Legal business name GRACIOUS OUTREACH MINISTRIES
Authorized official TANISHA BURTON - (CHAIRMAN/ CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/28/2008
Last updated 11/10/2008 - About 18 years ago
Identifiers n/a
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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