Healthcare Provider Details

I. General information

NPI: 1154420065
Provider Name (Legal Business Name): DEPENDABLE HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 N CANTON CENTER RD SUITE 290
CANTON MI
48187-2684
US

IV. Provider business mailing address

5840 N CANTON CENTER RD SUITE 290
CANTON MI
48187-2684
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number4360685
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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