Provider Demographics
NPI:1225674823
Name:CURA PROFESSIONAL GROUP
Entity Type:Organization
Organization Name:CURA PROFESSIONAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:SYTRISS
Authorized Official - Middle Name:L
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:313-766-4022
Mailing Address - Street 1:33006 7 MILE RD STE 412
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1358
Mailing Address - Country:US
Mailing Address - Phone:313-766-4022
Mailing Address - Fax:734-345-4378
Practice Address - Street 1:1638 EAST LAKEVIEW LANE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187
Practice Address - Country:US
Practice Address - Phone:313-766-4022
Practice Address - Fax:734-345-4378
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CURA PROFESSIONAL GOUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health