Healthcare Provider Details

I. General information

NPI: 1013003367
Provider Name (Legal Business Name): FRIENDS WHO CARE-ADRIAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 02/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 W CHICAGO BLVD SUITE 13
TECUMSEH MI
49286-1666
US

IV. Provider business mailing address

808 W CHICAGO BLVD SUITE 13
TECUMSEH MI
49286-1666
US

V. Phone/Fax

Practice location:
  • Phone: 517-423-0004
  • Fax: 517-423-0010
Mailing address:
  • Phone: 517-423-0004
  • Fax: 517-423-0010

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: MS. GAYLE ELLEN BUSSELLE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 248-542-2424