Healthcare Provider Details

I. General information

NPI: 1235936824
Provider Name (Legal Business Name): ADOBE HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21999 FARMINGTON RD STE 200
FARMINGTON MI
48336-4420
US

IV. Provider business mailing address

21999 FARMINGTON RD STE 200
FARMINGTON MI
48336-4420
US

V. Phone/Fax

Practice location:
  • Phone: 248-797-3233
  • Fax: 248-522-7289
Mailing address:
  • Phone: 248-797-3233
  • Fax: 248-522-7289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ABIZER ALI
Title or Position: PRESIDENT
Credential: AGNP-C
Phone: 248-797-3233