Healthcare Provider Details

I. General information

NPI: 1831699529
Provider Name (Legal Business Name): BELL'S PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 02/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29105 RICHARD ST
WESTLAND MI
48186-7318
US

IV. Provider business mailing address

29105 RICHARD ST
WESTLAND MI
48186-7318
US

V. Phone/Fax

Practice location:
  • Phone: 734-833-8144
  • Fax:
Mailing address:
  • Phone: 734-833-8144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateMI

VIII. Authorized Official

Name: MRS. SHARIKA SHNETTE PHILLIPS
Title or Position: OWNER
Credential:
Phone: 734-833-8144