Provider Demographics
NPI:1467853754
Name:SOMEWHERE TO GO SOMETHING TO DO ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:SOMEWHERE TO GO SOMETHING TO DO ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-698-9050
Mailing Address - Street 1:17600 W 11 MILE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LATHRUP VILLAGE
Mailing Address - State:MI
Mailing Address - Zip Code:48076-4722
Mailing Address - Country:US
Mailing Address - Phone:248-327-7046
Mailing Address - Fax:
Practice Address - Street 1:17600 W 11 MILE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-4722
Practice Address - Country:US
Practice Address - Phone:248-327-7046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-06
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
MI6801085319261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care