Organization · Type 2 NPI

Enlightened Medical Home Visit PLLC

Health Service Clinic/Center · Southfield, MI

NPI number 1316467319 Active

Practice location

20755 Greenfield Rd, Suite 803
Southfield, MI 48075

Call (248) 281-6469 Map

Fax (947) 282-6991

Mailing address

20755 Greenfield Rd Ste 803
Southfield, MI 48075-5410

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

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About NPI 1316467319

Enlightened Medical Home Visit PLLC's National Provider Identifier is 1316467319, issued on Jun 21, 2017. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Southfield, MI. The record was last updated on Jul 21, 2022.