Healthcare Provider Details

I. General information

NPI: 1093561102
Provider Name (Legal Business Name): WEALTH & WELLNESS CARE AND AND STAFFING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23350 GREENFIELD RD
OAK PARK MI
48237-2496
US

IV. Provider business mailing address

36839 GREENSPRING ST
FARMINGTON HILLS MI
48331-1910
US

V. Phone/Fax

Practice location:
  • Phone: 313-378-9567
  • Fax:
Mailing address:
  • Phone: 313-378-9567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAMELA MORAA OBARE
Title or Position: DIRECTOR
Credential: NP
Phone: 313-378-9567