Vista Maria Good Shepherd
Organization Active NPI Community/Behavioral Health Agency · Dearborn Heights, MI
NPI 1497928816 · NPPES record last updated Apr 7, 2008
Key facts
- NPI
- 1497928816
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- VISTA MARIA GOOD SHEPHERD
- Practice address
- 20651 West Warren
Dearborn Heights, MI 48127 - Phone
- (313) 271-3050
- NPI assigned
- Apr 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Latonya Howard
- Title
- Program Manager
- Phone
- (313) 271-3050
Corporate family (same tax ID) 1
Practitioners 1
-
Nicole Roberta Claudin, NURSE PRACTITIONER
National Provider Directory
- Tax ID family
- Program Manager
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
20651 West Warren
Dearborn Heights, MI 48127
Mailing address
20651 West Warren
Dearborn Heights, MI 48127
Other names
- Program Manager
Other providers in Dearborn Heights, MI
- Matthew John Vertin
- Vida Clinical Studies
- Vinaya K. Gavini MDPC
- Visiting Doctors for America PC
- Vista Maria
- Vitae Health Medical Michigan PLLC
- Vital Care Agency
- Vital Living Home Care LLC
- Vitality Health Clinic
- Vitality Health Clinic PLLC
All providers in Dearborn Heights, MI · Community/Behavioral Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.