Healthcare Provider Details

I. General information

NPI: 1174799662
Provider Name (Legal Business Name): THERAPY MANAGEMENT ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19954 CONANT ST
DETROIT MI
48234-3272
US

IV. Provider business mailing address

2600 FLORENCE DR
ROCHESTER HILLS MI
48309-4515
US

V. Phone/Fax

Practice location:
  • Phone: 313-368-1100
  • Fax: 313-368-1144
Mailing address:
  • Phone: 313-368-1100
  • Fax: 313-368-1144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. HUMAIRA BANO
Title or Position: CEO/ADMIN
Credential: PHARMACIST
Phone: 313-368-1100