Provider Demographics
NPI:1770149700
Name:411 HELP II
Entity type:Organization
Organization Name:411 HELP II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAJIR
Authorized Official - Middle Name:
Authorized Official - Last Name:WUTWUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-899-0498
Mailing Address - Street 1:PO BOX 7485
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48121-7485
Mailing Address - Country:US
Mailing Address - Phone:313-899-0498
Mailing Address - Fax:
Practice Address - Street 1:27207 LAHSER RD STE 106
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-2168
Practice Address - Country:US
Practice Address - Phone:313-899-0498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501004726OtherPHYSICAL THERAPY