New Light Adult Day Program Llc | |
25619 Southwood Dr Southfield MI 48075-2063 | |
(248) 739-1521 | |
Not Available |
Full Name | New Light Adult Day Program Llc |
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Speciality | Social Worker |
Location | 25619 Southwood Dr, Southfield, Michigan |
Authorized Official Name and Position | Dion Love (OWNER) |
Authorized Official Contact | 3132148335 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Light Adult Day Program Llc 19677 Revere St Detroit MI 48234-1711 Ph: () - | New Light Adult Day Program Llc 25619 Southwood Dr Southfield MI 48075-2063 Ph: (248) 739-1521 |
NPI Number | 1952644676 |
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Provider Enumeration Date | 04/01/2013 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Medicare PECOS PAC ID | 3870736895 |
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Medicare Enrollment ID | O20130823000456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952644676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Servilla V Harris |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295867174 PECOS PAC ID: 8729040944 Enrollment ID: I20041101000059 |
Provider Name | Gloria Love |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063865830 PECOS PAC ID: 8123261146 Enrollment ID: I20240822003337 |
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