LIBERTY TEMPLE OUTREACH NPI 1396983557

NPI Information

NPI: 1396983557
Provider Name: LIBERTY TEMPLE OUTREACH
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1710 E GRAND BLVD
DETROIT, MI
ZIP 48211
Phone: (313) 449-1117
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LIBERTY TEMPLE OUTREACH is a voluntary or charitable in Detroit, MI. LIBERTY TEMPLE OUTREACH NPI is 1396983557. The provider is registered as an organization entity type.

The provider's business location address is:

1710 E GRAND BLVD
DETROIT, MI
ZIP 48211-146
Phone: (313) 449-1117

The provider's authorized official is Anthony Cooper .
The authorized official title is Ceo and has the following contact phone number (313) 449-1117.

The enumeration date for this NPI number is 1/27/2009 and was last updated on 1/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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