Individual provider · NPI-1

Amenda Ajrouche

Case Manager/Care Coordinator · Detroit, MI

NPI number1114517844
StatusActive
Last updated in NPPESDec 17, 2021

Details

NPI
1114517844
Entity type
Individual (NPI-1)
Name
Amenda Ajrouche
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2021
Certification date
Dec 17, 2021
Last updated
Dec 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

62 W 7 Mile Rd
Detroit, MI 48203-1967

Phone 313-893-6172 · Fax 313-893-0064

Mailing address

62 W 7 Mile Rd
Detroit, MI 48203-1967

Phone 313-893-6172 · Fax 313-893-0064

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