NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1689925075 |   |   |   | COVENANT COMMUNITY CARE, INC. | 559 W GRAND BLVD | DETROIT | MI | 482162200 |
1417488453 | BARIE | SOCORRO |   |   | 14887 EVERGREEN RD | DETROIT | MI | 482232101 |
1568857068 | BOWDEN | KASANDRA |   |   | 20901 MOROSS RD | DETROIT | MI | 482362058 |
1245894476 | DAVIS | AUSTIN | CHRISTOPHER |   | 559 W GRAND BLVD | DETROIT | MI | 482162200 |
1174099188 | FINCHER | MEGAN | JUSTINE |   | 559 W GRAND BLVD | DETROIT | MI | 482162200 |
1558855387 | NUWAMANYA | SAJEL | ELIZABETH |   | 559 W GRAND BLVD | DETROIT | MI | 482162200 |
1912384850 | THOMPSON | CHAD | M |   | 559 W GRAND BLVD | DETROIT | MI | 482162200 |
1831757988 | WINDOM | CARLOS | F |   | 559 W GRAND BLVD | DETROIT | MI | 482162200 |