Healthcare Provider Details

I. General information

NPI: 1902664733
Provider Name (Legal Business Name): DETROIT ASSOCIATION PARTNERSHIPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11455 COLLEGE ST
DETROIT MI
48205-3205
US

IV. Provider business mailing address

11455 COLLEGE ST
DETROIT MI
48205-3205
US

V. Phone/Fax

Practice location:
  • Phone: 313-363-1117
  • Fax:
Mailing address:
  • Phone: 313-363-1117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBORAH A PYANT
Title or Position: OWNER AND MANAGING EMPLOYEES
Credential: DRPH
Phone: 313-363-1117