Provider Demographics
NPI:1033414305
Name:BELAKA CARE INC
Entity Type:Organization
Organization Name:BELAKA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BELTUS
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAWUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-757-5273
Mailing Address - Street 1:4838 LAKERIDGE ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1410
Mailing Address - Country:US
Mailing Address - Phone:734-757-5273
Mailing Address - Fax:
Practice Address - Street 1:4838 LAKERIDGE ST APT 1B
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1410
Practice Address - Country:US
Practice Address - Phone:734-757-5273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health