Healthcare Provider Details

I. General information

NPI: 1750896593
Provider Name (Legal Business Name): FAMILY CAREGIVER SOLUTIONS ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2017
Last Update Date: 12/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 E 11 MILE RD STE 100
WARREN MI
48091-6121
US

IV. Provider business mailing address

2104 E 11 MILE RD STE 100
WARREN MI
48091-6121
US

V. Phone/Fax

Practice location:
  • Phone: 586-806-5308
  • Fax:
Mailing address:
  • Phone: 586-806-5308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. EBONY SYKES
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 586-806-5308