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NPI Code Detail

MEDICARE: BOWER ENTERPRISES INC

MEDICARE: BOWER ENTERPRISES 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
1251C00000XDevelopmentally Disabled Services Day Training Agency
2253Z00000XIn Home Supportive Care Agency
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1336391911
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOWER ENTERPRISES INC
Provider Business Mailing Address
First Line : 210 TOWN CENTER DR
Second Line :
City : TROY
State : MI
Zip : 48084-1774
Country : US
Telephone Number : 248-643-8900
Fax Number : 248-740-3505
Provider Business Practice Location Address
First Line : 210 TOWN CENTER DR
Second Line :
City : TROY
State : MI
Zip : 48084-1774
Country : US
Telephone Number : 248-643-8900
Fax Number : 248-740-3505
Authorized Official
Title or Position : CEO
Name : MS. LAUREN SCLESKY
Credential :
Telephone Number : 248-643-8900
Provider Enumeration Date : 10/15/2008
Last Update Date : 02/15/2016

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Directions to “BOWER ENTERPRISES INC ” Practice Location

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