Provider Demographics
NPI:1104206259
Name:PREVENTATIVE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PREVENTATIVE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEH
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-307-5711
Mailing Address - Street 1:17000 EXECUTIVE PLAZA DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2793
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17000 EXECUTIVE PLAZA DR
Practice Address - Street 2:SUITE 106
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2793
Practice Address - Country:US
Practice Address - Phone:313-307-5711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty