Healthcare Provider Details

I. General information

NPI: 1023882784
Provider Name (Legal Business Name): DAP SERVICES AND RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 VICTOR AVE
LANSING MI
48911-1732
US

IV. Provider business mailing address

3105 S MARTIN LUTHER KING JR BLVD # 335
LANSING MI
48910-2939
US

V. Phone/Fax

Practice location:
  • Phone: 517-705-3581
  • Fax: 517-689-5937
Mailing address:
  • Phone: 517-705-3581
  • Fax: 517-689-5937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. YOLANDA R POPE
Title or Position: FOUNDER/EXECUTIVE DIRECTOR
Credential: LPN
Phone: 517-705-3581