Provider Demographics
NPI:1104203298
Name:D & P SPECIALIZED LIVING, INC.
Entity Type:Organization
Organization Name:D & P SPECIALIZED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRASCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-358-8350
Mailing Address - Street 1:22223 N BRANDON ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3829
Mailing Address - Country:US
Mailing Address - Phone:734-358-8350
Mailing Address - Fax:
Practice Address - Street 1:22223 N BRANDON ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-3829
Practice Address - Country:US
Practice Address - Phone:734-358-8350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home