Organization · NPI-2

Fibers Of The Family LLC

Health Maintenance Organization · Detroit, MI

NPI number1972011369
StatusActive
Last updated in NPPESJun 5, 2018

Details

NPI
1972011369
Entity type
Organization (NPI-2)
Legal business name
Fibers Of The Family LLC
Organization subpart
No
Enumeration date
Jan 19, 2018
Last updated
Jun 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization––Yes
251E00000X Home Health––
251K00000X Public Health or Welfare––
253Z00000X In Home Supportive Care––

Practice location

16800 Edinborough Rd
Detroit, MI 48219

Phone 313-649-7102 · Fax 313-447-2617

Mailing address

Po Box 19313
Detroit, MI 48219-0313

Authorized official

Lajean Partmon
Owner
3136497102

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