Innerman Community Outreach Services

NPI #1700564903 in Trenton, Michigan

Provider Information

NPI Number
1700564903
Entity Type
Organization
Organization Name
Innerman Community Outreach Services
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Jul 7, 2023
Last Updated
Jul 7, 2023

Practice Location

Address
239 CHERRY ST
ZIP Code
48183-2725
Phone
(313) 656-7972

Authorized Official

Name
MR. RODERICK GILLISON SR.
Title
EXECUTIVE DIRECTOR
Phone
(313) 656-7972

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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