KOUROUMA SERVICES LLC NPI 1780996926

NPI Information

NPI: 1780996926
Provider Name: KOUROUMA SERVICES LLC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
13560 E MCNICHOLS RD
DETROIT, MI
ZIP 48205
Phone: (313) 402-7812
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KOUROUMA SERVICES LLC is a public health or welfare in Detroit, MI. KOUROUMA SERVICES LLC NPI is 1780996926. The provider is registered as an organization entity type.

The provider's business location address is:

13560 E MCNICHOLS RD
DETROIT, MI
ZIP 48205-426
Phone: (313) 402-7812

The provider's authorized official is Chantelle Morrison-kourouma .
The authorized official title is President and has the following contact phone number (313) 402-7812.

The enumeration date for this NPI number is 7/3/2010 and was last updated on 7/10/2012.

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	License Number	License State	Primary
1	251B00000X	Case Management	4704258152	MICHIGAN	No
2	251J00000X	Nursing Care	4704258152	MICHIGAN	No
3	251S00000X	Community/Behavioral Health	4704258152	MICHIGAN	No
4	251K00000X	Public Health or Welfare	4704258152	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2249265	MEDICAID	MICHIGAN
2	1316273030	MEDICAID	MICHIGAN

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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