Provider Demographics
NPI:1194034561
Name:DEPENABLE & RELIABLE DAY CARE
Entity Type:Organization
Organization Name:DEPENABLE & RELIABLE DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH AIDE
Authorized Official - Prefix:
Authorized Official - First Name:RONA
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-405-8878
Mailing Address - Street 1:13320 NORTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-6308
Mailing Address - Country:US
Mailing Address - Phone:180-073-2904
Mailing Address - Fax:
Practice Address - Street 1:13320 NORTHSIDE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-6308
Practice Address - Country:US
Practice Address - Phone:180-073-2904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health