Parkside Estates
NPI #1669899910 in Grosse Ile, Michigan
Provider Information
- NPI Number
- 1669899910
- Entity Type
- Organization
- Organization Name
- Parkside Estates
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 25, 2014
- Last Updated
- Mar 25, 2014
Practice Location
- Address
- 28860 COLEMAN DR
- City
- Grosse Ile
- State
- Michigan
- ZIP Code
- 48138-2053
- Phone
- (734) 692-0877
Authorized Official
- Name
- MR. GREGORY SCOTT RICHARDS
- Title
- ADMINSTRATOR
- Phone
- (734) 692-0877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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