Healthcare Provider Details

I. General information

NPI: 1972311082
Provider Name (Legal Business Name): MEDECS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8670 W 9 MILE RD
OAK PARK MI
48237-2320
US

IV. Provider business mailing address

8670 W 9 MILE RD
OAK PARK MI
48237-2320
US

V. Phone/Fax

Practice location:
  • Phone: 586-742-7841
  • Fax:
Mailing address:
  • Phone:
  • 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: CHANEY B HOGAN
Title or Position: LPN
Credential: LPN
Phone: 586-742-7841