Healthcare Provider Details

I. General information

NPI: 1982812699
Provider Name (Legal Business Name): EDUCATORS UNLIMITED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15565 NORTHLAND DRIVE SUITE 901 EAST
SOUTHFIELD MI
48075
US

IV. Provider business mailing address

15565 NORTHLAND DRIVE SUITE 901 EAST
SOUTHFIELD MI
48075
US

V. Phone/Fax

Practice location:
  • Phone: 248-559-5301
  • Fax: 248-559-5692
Mailing address:
  • Phone: 248-559-5301
  • Fax: 248-559-5692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAMANTHA EVANS
Title or Position: CEO
Credential:
Phone: 248-559-5301