Provider Demographics
NPI:1407010085
Name:ATTENTIVE LIVING ASSISTANCE, INC.
Entity Type:Organization
Organization Name:ATTENTIVE LIVING ASSISTANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:517-376-0246
Mailing Address - Street 1:11345 EAST SHORE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WHITMORE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48189
Mailing Address - Country:US
Mailing Address - Phone:517-376-0246
Mailing Address - Fax:
Practice Address - Street 1:11345 E SHORE DR
Practice Address - Street 2:
Practice Address - City:WHITMORE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48189-9326
Practice Address - Country:US
Practice Address - Phone:517-376-0246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility