Provider Demographics
NPI:1114633179
Name:AMENS CARE INC
Entity Type:Organization
Organization Name:AMENS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSARETIN
Authorized Official - Middle Name:
Authorized Official - Last Name:UWAIFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-478-1734
Mailing Address - Street 1:8010 N MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-1808
Mailing Address - Country:US
Mailing Address - Phone:313-478-1374
Mailing Address - Fax:
Practice Address - Street 1:8010 N MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1808
Practice Address - Country:US
Practice Address - Phone:313-478-1374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No251S00000XAgenciesCommunity/Behavioral Health