NPI 1568047116 · live from the CMS NPI Registry
Hussein Al Khafaji
Case Manager/Care Coordinator in Dearborn, MI. National Provider Identifier 1568047116, active.
NPI record
| NPI | 1568047116 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Case Manager/Care Coordinator 171M00000X |
| Practice location | 6451 Schaefer Rd, Dearborn, MI 48126 |
| Practice phone | 313-945-8138 |
| Mailing address | 2651 Saulino Ct, Dearborn, MI 48120 |
| Enumerated | March 16, 2021 |
| Last updated | March 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Case Manager/Care Coordinator primary | 171M00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.