Healthcare Provider Details

I. General information

NPI: 1801969001
Provider Name (Legal Business Name): ENHANCE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36524 GRAND RIVER AVE
FARMINGTON HILLS MI
48335-3011
US

IV. Provider business mailing address

36524 GRAND RIVER AVE
FARMINGTON HILLS MI
48335-3011
US

V. Phone/Fax

Practice location:
  • Phone: 248-477-5209
  • Fax: 248-888-7582
Mailing address:
  • Phone: 248-477-5209
  • Fax: 248-888-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateMI

VIII. Authorized Official

Name: NEVA ST. LOUIS
Title or Position: CEO
Credential:
Phone: 248-477-5209