Organization · Type 2 NPI

Glory Visiting Physician Pc.

Physical Disabilities Residential Treatment Facility · Dearborn Heights, MI

NPI number 1669672705 Active

Practice location

4245 S Beech Daly St
Dearborn Heights, MI 48125-1567

Fax (248) 424-8987

Mailing address

30063 Rambling Rd
Southfield, MI 48076-1038

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000X4301053752 (MI)

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

7 other providers at this address

About NPI 1669672705

Glory Visiting Physician Pc.'s National Provider Identifier is 1669672705, issued on Jul 18, 2007. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Dearborn Heights, MI. The record was last updated on Jun 8, 2015.