Healthcare Provider Details

I. General information

NPI: 1871871665
Provider Name (Legal Business Name): PROPER CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 05/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 PEACH ST
PONTIAC MI
48342-2968
US

IV. Provider business mailing address

5001 FIVE LAKES RD
NORTH BRANCH MI
48461-8915
US

V. Phone/Fax

Practice location:
  • Phone: 248-481-9216
  • Fax: 248-481-9345
Mailing address:
  • Phone: 248-481-9216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAS630310286
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberAS630310286
License Number StateMI

VIII. Authorized Official

Name: MRS. REGINA CAMPBELL
Title or Position: DIRECTOR
Credential: LRT
Phone: 248-481-9216