Healthcare Provider Details

I. General information

NPI: 1023993789
Provider Name (Legal Business Name): ESTELLE'S PLACE ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20307 MIDDLEBELT RD
LIVONIA MI
48152-2003
US

IV. Provider business mailing address

20307 MIDDLEBELT RD
LIVONIA MI
48152-2003
US

V. Phone/Fax

Practice location:
  • Phone: 248-214-7863
  • Fax:
Mailing address:
  • Phone: 734-644-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIANNA ANTHONY
Title or Position: OWNER
Credential:
Phone: 248-214-7863