Healthcare Provider Details

I. General information

NPI: 1275002875
Provider Name (Legal Business Name): ARBOR DAY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 GOLFSIDE DR STE 9
ANN ARBOR MI
48108-1410
US

IV. Provider business mailing address

2900 GOLFSIDE DR STE 9
ANN ARBOR MI
48108-1410
US

V. Phone/Fax

Practice location:
  • Phone: 734-883-8544
  • Fax:
Mailing address:
  • Phone: 734-883-8544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABDULAZIZ ISSA
Title or Position: MEMBER
Credential: MBA
Phone: 734-883-8544