Attendant Care Services Of Michigan | |
51145 Nicolette Dr Chesterfield MI 48047-4585 | |
(248) 569-5303 | |
(248) 569-3514 |
Full Name | Attendant Care Services Of Michigan |
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Speciality | Community/Behavioral Health |
Location | 51145 Nicolette Dr, Chesterfield, Michigan |
Authorized Official Name and Position | Paul Semian (ADMINISTRATOR) |
Authorized Official Contact | 5862289991 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Attendant Care Services Of Michigan 51145 Nicolette Dr Chesterfield MI 48047-4585 Ph: (248) 569-5303 | Attendant Care Services Of Michigan 51145 Nicolette Dr Chesterfield MI 48047-4585 Ph: (248) 569-5303 |
NPI Number | 1255786182 |
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Provider Enumeration Date | 04/28/2016 |
Last Update Date | 02/04/2021 |
Certification Date | 02/04/2021 |
Medicare PECOS PAC ID | 6002855129 |
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Medicare Enrollment ID | O20200804001640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255786182 | NPI | - | NPPES |
0E976 | Other | MI | BLUE CROSS BLUE SHIELD |
4830370 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Taylor Naumann |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700490653 PECOS PAC ID: 9032524301 Enrollment ID: I20210218001679 |
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