Provider Demographics
NPI:1417487828
Name:PLEASANT CARE ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:PLEASANT CARE ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LIMBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:248-342-9983
Mailing Address - Street 1:30308 SOUTHFIELD RD APT 60A
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1338
Mailing Address - Country:US
Mailing Address - Phone:248-342-9983
Mailing Address - Fax:
Practice Address - Street 1:30308 SOUTHFIELD RD APT 60A
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1338
Practice Address - Country:US
Practice Address - Phone:248-342-9983
Practice Address - Fax:248-792-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty