Seraphim Network LLC
General Practice in Southfield, MI. Organization (NPI-2).
NPI number1124366125
StatusActive
Last updated in NPPESJan 25, 2013
Details
- NPI
- 1124366125
- Entity type
- Organization (NPI-2)
- Legal business name
- Seraphim Network LLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2013
- Last updated
- Jan 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 4301407599 | MI | Yes |
Other names
- Seraphim Medical Network (Doing Business As)
Practice location
17256 Sherfield PlSouthfield, MI 48075-1969
Phone 248-552-1327
Mailing address
17256 Sherfield PlSouthfield, MI 48075-1969
Phone 248-552-1327
Authorized official
Rebecca Kathleene Motley
President
2485521327
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