Organization Name: | HENRY FORD HEALTH SYSTEM |
NPI Number: | 1427081694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORETTA A CROW (ADMINISTRATOR) |
Mailing Address: | 655 W 13 Mile Rd 1st Floor Madison Heights |
State: | MI US |
Postal Code: | 480711844 |
Phone Number: | 2485855270 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 833515 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |