NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1770852634 |   |   |   | COVENANT COMMUNITY CARE, INC. | 559 W GRAND BLVD | DETROIT | MI | 482162200 |
1578820965 | LUCIO | ENEDELIA |   |   | 559 W GRAND BLVD | DETROIT | MI | 482162200 |
1548546898 | ROEHLING | KATHRYN | LOUISE |   | 559 WEST GRAND BLVD. | DETROIT | MI | 48216 |
1669752044 | ZALENSKI | TONYA | R |   | 559 W GRAND BLVD | DETROIT | MI | 482162200 |