Healthcare Provider Details
I. General information
NPI: 1861730467
Provider Name (Legal Business Name): CURRIE ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/17/2013
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16551 E WARREN AVE
DETROIT MI
48224-2742
US
IV. Provider business mailing address
16551 E WARREN AVE
DETROIT MI
48224-2742
US
V. Phone/Fax
- Phone: 313-332-0731
- Fax: 313-332-0758
- Phone: 313-332-0731
- Fax: 313-332-0758
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHERRIE
CURRIE
Title or Position: CEO
Credential:
Phone: 313-690-0267