Provider Demographics
NPI:1508039066
Name:IT TAKES A VILLAGE HUMAN SERVICES
Entity Type:Organization
Organization Name:IT TAKES A VILLAGE HUMAN SERVICES
Other - Org Name:CROSBY COMPANIONS & CARE (3 C'S)
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FREDRICKA
Authorized Official - Middle Name:LEENICE
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:313-499-1009
Mailing Address - Street 1:9774 PHILIP ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-2837
Mailing Address - Country:US
Mailing Address - Phone:313-499-1009
Mailing Address - Fax:313-865-4262
Practice Address - Street 1:9774 PHILIP ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-2837
Practice Address - Country:US
Practice Address - Phone:313-499-1009
Practice Address - Fax:313-865-4262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IT TAKES A VILLAGE HUMAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171W00000XOther Service ProvidersContractorGroup - Single Specialty