Organization Name: | FIRST CHOICE ADULT DAY CARE CENTER |
NPI Number: | 1033535646 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIDGETT RUSS (OWNER) |
Mailing Address: | 28032 Warren Rd Westland |
State: | MI US |
Postal Code: | 481852654 |
Phone Number: | 7347435410 |
Fax Number: | 7347435411 |
NPI Enumeration Date: | 03/07/2014 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |