Missionary Servants of Divine Providence

NPI #1245771294 in Inkster, Michigan

Provider Information

NPI Number: 1245771294
Entity Type: Organization
Organization Name: Missionary Servants of Divine Providence
Primary Specialty: Registered Nurse
Enumeration Date: Mar 10, 2017
Last Updated: Mar 10, 2017

Practice Location

Address: 26629 HOPKINS ST
City: Inkster
State: Michigan
ZIP Code: 48141-3111
Phone: (734) 560-5014

Authorized Official

Name: JUSTINA UDEAGHA
Title: PRESIDENT/ADMINISTRATOR
Phone: (734) 560-5014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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