Organization Name: | AMEN'S CARE, INC. |
NPI Number: | 1104069673 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OSERATIN TINU UWAIFO (MANAGER) |
Mailing Address: | 9014 Rockland Redford |
State: | MI US |
Postal Code: | 48239 |
Phone Number: | 3137407231 |
Fax Number: | 3137407231 |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | AS820294357 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |