Healthcare Provider Details

I. General information

NPI: 1073441895
Provider Name (Legal Business Name): D.O.C SENIOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9684 ANDREWS AVE
ALLEN PARK MI
48101-1220
US

IV. Provider business mailing address

9684 ANDREWS AVE
ALLEN PARK MI
48101-1220
US

V. Phone/Fax

Practice location:
  • Phone: 313-212-8999
  • Fax:
Mailing address:
  • Phone: 313-212-8999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: REUBEN YOUNGLOVE
Title or Position: OWNER / MANAGER
Credential:
Phone: 313-212-8999