Individual provider · NPI-1
Vincent Hall
Day Training/Habilitation Specialist · Detroit, MI
NPI number1477909687
StatusActive
Last updated in NPPESMay 5, 2016
Details
- NPI
- 1477909687
- Entity type
- Individual (NPI-1)
- Name
- Vincent Hall
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 5, 2016
- Last updated
- May 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | 4704281485 | MI | Yes |
Practice location
2925 Russell StDetroit, MI 48207-4825
Phone 313-396-5300 · Fax 313-396-5353
Mailing address
921 Howard StDearborn, MI 48124-2210
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