Provider Demographics
NPI:1093230674
Name:SELF-DIRECTED BUDGET SERVICES
Entity Type:Organization
Organization Name:SELF-DIRECTED BUDGET SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-338-5853
Mailing Address - Street 1:20276 MIDDLEBELT RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2054
Mailing Address - Country:US
Mailing Address - Phone:734-338-5853
Mailing Address - Fax:
Practice Address - Street 1:20276 MIDDLEBELT RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:734-338-5853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty