Healthcare Provider Details

I. General information

NPI: 1124431580
Provider Name (Legal Business Name): NEW BEGINNING ADULT DAY CARE SENIOR CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 06/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28200 7 MILE RD SUITE 207
LIVONIA MI
48152-3794
US

IV. Provider business mailing address

28200 7 MILE RD SUITE 207
LIVONIA MI
48152-3794
US

V. Phone/Fax

Practice location:
  • Phone: 313-539-4840
  • Fax: 313-539-4842
Mailing address:
  • Phone: 313-539-4840
  • Fax: 313-539-4842

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: LASEAN N FLEMING
Title or Position: OWNER
Credential:
Phone: 313-539-4840