GRACIOUS OUTREACH MINISTRIES NPI 1922251545

NPI Information

  • NPI: 1922251545
  • Provider Name: GRACIOUS OUTREACH MINISTRIES
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 17336 W 12 MILE RD
    SOUTHFIELD, MI
    ZIP 48076
  • Phone: (313) 739-3352

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NPI Details

GRACIOUS OUTREACH MINISTRIES is a voluntary or charitable in Southfield, MI. GRACIOUS OUTREACH MINISTRIES NPI is 1922251545. The provider is registered as an organization entity type.

The provider's business location address is:

17336 W 12 MILE RD
SOUTHFIELD, MI
ZIP 48076-113
Phone: (313) 739-3352
Fax: (313) 887-4081

The provider's authorized official is Tanisha C Burton .
The authorized official title is Chairman/ Ceo and has the following contact phone number (313) 739-3352.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 11/10/2008.

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
1251V00000XVoluntary or CharitableYes

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: 11/21/2025

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