Provider Demographics
NPI:1295217115
Name:MY ADVOCATES LLC
Entity Type:Organization
Organization Name:MY ADVOCATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATRENA
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDMONDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:248-730-3427
Mailing Address - Street 1:25901 W 10 MILE RD STE 222
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2857
Mailing Address - Country:US
Mailing Address - Phone:248-730-3427
Mailing Address - Fax:
Practice Address - Street 1:25901 W 10 MILE RD STE 222
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2857
Practice Address - Country:US
Practice Address - Phone:248-730-3427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care