| Sunrise Adult Day Center Llc | |
|
8238 W Mcnichols Rd Detroit MI 48221-2545 | |
| (248) 228-7962 | |
| Not Available |
| Full Name | Sunrise Adult Day Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8238 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Stephen Corbitt (OWNER) |
| Authorized Official Contact | 2482287962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Adult Day Center Llc 8238 W Mcnichols Rd Detroit MI 48221-2545 Ph: (248) 228-7962 | Sunrise Adult Day Center Llc 8238 W Mcnichols Rd Detroit MI 48221-2545 Ph: (248) 228-7962 |
| NPI Number | 1831942358 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/06/2024 |
| Medicare PECOS PAC ID | 5991145807 |
|---|---|
| Medicare Enrollment ID | O20240425001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831942358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659751477 PECOS PAC ID: 3173552262 Enrollment ID: I20050809000712 |
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