Healthcare Provider Details
I. General information
NPI: 1942007117
Provider Name (Legal Business Name): EXCLUSIVE ELDERLY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21465 GREEN HILL RD APT 272
FARMINGTON HILLS MI
48335-4566
US
IV. Provider business mailing address
37500 PEMBROKE AVE
LIVONIA MI
48152-4061
US
V. Phone/Fax
- Phone: 248-930-0271
- Fax:
- Phone: 248-930-0271
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333300000X |
| Taxonomy | Emergency Response System Companies |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBORAH
CROWLEY
Title or Position: CEO/FOUNDER
Credential:
Phone: 248-930-0271