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NPI Code Detail

MEDICARE: PREFERRED PROVIDERS, INC.

MEDICARE: PREFERRED PROVIDERS, INC.
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154427789
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED PROVIDERS, INC.
Provider Business Mailing Address
First Line : 4261 PARK RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9508
Country : US
Telephone Number : 734-213-7072
Fax Number : 734-213-7790
Provider Business Practice Location Address
First Line : 4261 PARK RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9508
Country : US
Telephone Number : 734-213-7072
Fax Number : 734-213-7790
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : MRS. TAMMY LOUISE CLELAND
Credential : L.P.N.
Telephone Number : 734-213-7072
Provider Enumeration Date : 09/14/2006
Last Update Date : 02/16/2015

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Directions to “PREFERRED PROVIDERS, INC. ” Practice Location

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