Healthcare Provider Details

I. General information

NPI: 1942645833
Provider Name (Legal Business Name): ROSEBERRY ADULT DAY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 05/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39050 SCHOOLCRAFT RD
LIVONIA MI
48150-1079
US

IV. Provider business mailing address

39050 SCHOOLCRAFT RD
LIVONIA MI
48150-1079
US

V. Phone/Fax

Practice location:
  • Phone: 313-282-9083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA ROSEBERRY
Title or Position: DIRECTOR
Credential:
Phone: 313-282-9083