| Organization Name: | HOPE URGENT CARE ROMULUS PLLC |
| NPI Number: | 1386952075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATTY HORN (CREDENTIALING SPECIALIST) |
| Mailing Address: | 9340 Wayne Rd Romulus |
| State: | MI US |
| Postal Code: | 481741569 |
| Phone Number: | 7349923499 |
| Fax Number: | 7349923373 |
| NPI Enumeration Date: | 09/16/2010 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 4301056997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |