MEDICARE: HUMAN SERVICES SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	6801020222	MI
2	251S00000X	Community/Behavioral Health Agency	6801020222	MI

General Provider Information

NPI Number	:	1003350554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMAN SERVICES SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	8165 SWAN CREEK RD
Second Line	:
City	:	NEWPORT
State	:	MI
Zip	:	48166-9152
Country	:	US
Telephone Number	:	734-673-6490
Fax Number	:

Provider Business Practice Location Address
First Line	:	8165 SWAN CREEK RD
Second Line	:
City	:	NEWPORT
State	:	MI
Zip	:	48166-9152
Country	:	US
Telephone Number	:	734-673-6490
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CONSULTANT
Name	:	GARY T CARONE
Credential	:	MS LLP LMSW BCBA
Telephone Number	:	734-673-6490

Provider Enumeration Date	:	12/16/2016
Last Update Date	:	12/16/2016

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Directions to “HUMAN SERVICES SOLUTIONS LLC ” Practice Location

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