Provider Demographics
NPI:1326177346
Name:MUSLIM SPIRITUAL CARE AND HOSPICE NETWORK
Entity Type:Organization
Organization Name:MUSLIM SPIRITUAL CARE AND HOSPICE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IMAM CHAPLAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOWAD
Authorized Official - Middle Name:KATHEM
Authorized Official - Last Name:ALANSARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-854-7726
Mailing Address - Street 1:2377 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3810
Mailing Address - Country:US
Mailing Address - Phone:248-854-7726
Mailing Address - Fax:
Practice Address - Street 1:2377 AUBURN RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-3810
Practice Address - Country:US
Practice Address - Phone:248-854-7726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOJOOD MOSLEM ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-05
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI70082C251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based