Healthcare Provider Details

I. General information

NPI: 1720616824
Provider Name (Legal Business Name): DM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 CARPENTER ST STE 107
HAMTRAMCK MI
48212-2771
US

IV. Provider business mailing address

3120 CARPENTER ST STE 107
HAMTRAMCK MI
48212-2771
US

V. Phone/Fax

Practice location:
  • Phone: 313-788-8131
  • Fax: 313-556-1695
Mailing address:
  • Phone: 313-788-8131
  • Fax: 313-556-1695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YUERUI CHEN
Title or Position: MANAGER
Credential:
Phone: 313-788-8131