MY TACTICAL ADVANTAGE LLC NPI 1942747423

NPI Information

NPI: 1942747423
Provider Name: MY TACTICAL ADVANTAGE LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
13305 W 7 MILE RD
DETROIT, MI
ZIP 48235
Phone: (313) 544-8229
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MY TACTICAL ADVANTAGE LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Detroit, MI. MY TACTICAL ADVANTAGE LLC NPI is 1942747423. The provider is registered as an organization entity type.

The provider's business location address is:

13305 W 7 MILE RD
DETROIT, MI
ZIP 48235-340
Phone: (313) 544-8229

The provider's authorized official is Tareeq Elmore .
The authorized official title is Ceo/ Owner and has the following contact phone number (313) 544-8229.

The enumeration date for this NPI number is 1/23/2017 and was last updated on 1/23/2017.

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	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			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: 11/14/2023

NPI Synchronization or Removal

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