OrganizationActive
Advantage Health Centers
NPI 1750723409 · Exclusive Provider Organization · Detroit, MI
Provider details
- NPI number
- 1750723409
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Patricia Soares, Director of Clinical Services(313) 829-4414
- License
- 4704278295 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
15400 W Mcnichols Rd
Detroit, MI 48235-3724
Phone: (313) 835-5990
Approximate (ZIP-level) locationGet directions
Mailing address
15400 W Mcnichols Rd
Detroit, MI 48235-3724
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2013-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.