Healthcare Provider Details

I. General information

NPI: 1760817571
Provider Name (Legal Business Name): DEPENDABLE HEALTHCARE SERVICES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 N CANTON CENTER RD STE 212
CANTON MI
48187-2614
US

IV. Provider business mailing address

5840 N CANTON CENTER RD STE 212
CANTON MI
48187-2614
US

V. Phone/Fax

Practice location:
  • Phone: 734-844-6533
  • Fax: 734-667-5079
Mailing address:
  • Phone: 734-844-6533
  • Fax: 734-667-5079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberO7382C
License Number StateMI

VIII. Authorized Official

Name: GLORIA IBE
Title or Position: DIRECTOR
Credential:
Phone: 734-844-6533