Most Relevant Information
Provider Data
| NPI Number: | 1003384736 |
| Provider Name: | RENEE GOLDSBY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2018 |
| Last Updated: | 11/12/2018 |
Provider Practice Location
13101 ALLEN RD
SOUTHGATE
MI
481952216
Practice Location Phone/Fax
| Phone: | 7344863199 |
| Fax: | 7342872943 |
Provider Mailing Location
13101 ALLEN RD
SOUTHGATE
MI
481952216
Provider Mailing Phone/Fax
| Phone: | 7344863199 |
| Fax: | 7342872943 |