Healthcare Provider Details

I. General information

NPI: 1336997048
Provider Name (Legal Business Name): DIRECTIVE RESOURCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 05/08/2024
Certification Date: 04/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8051 BINGHAM STREET
DETROIT MI
48228
US

IV. Provider business mailing address

607 SHELBY ST STE 700
DETROIT MI
48226-3282
US

V. Phone/Fax

Practice location:
  • Phone: 313-327-1121
  • Fax:
Mailing address:
  • Phone: 313-327-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LISA A GAITER
Title or Position: OWNER /PRESIDENT
Credential:
Phone: 313-327-1121