Provider Demographics
NPI:1548089071
Name:METRO PRIMARY HEALTH SERVICES
Entity type:Organization
Organization Name:METRO PRIMARY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:AYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-639-8334
Mailing Address - Street 1:30515 W 14 MILE RD APT 46
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1559
Mailing Address - Country:US
Mailing Address - Phone:248-639-8334
Mailing Address - Fax:
Practice Address - Street 1:30515 W 14 MILE RD APT 46
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1559
Practice Address - Country:US
Practice Address - Phone:248-639-8334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health