Healthcare Provider Details

I. General information

NPI: 1760675888
Provider Name (Legal Business Name): QUALITY CARE THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 W SQUARE LAKE RD
TROY MI
48098-2927
US

IV. Provider business mailing address

42536 HAYES RD SUITE 100
CLINTON TOWNSHIP MI
48038-6766
US

V. Phone/Fax

Practice location:
  • Phone: 248-879-5115
  • Fax: 248-879-5114
Mailing address:
  • Phone: 586-286-9644
  • Fax: 586-286-9647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberD2238A
License Number StateMI

VIII. Authorized Official

Name: TATJANA TINA SAVICH
Title or Position: OWNER
Credential: OT
Phone: 586-286-9644