Provider Demographics
NPI:1508481946
Name:ICARE CONCIERGE PERSONAL ERRAND SERVICES
Entity Type:Organization
Organization Name:ICARE CONCIERGE PERSONAL ERRAND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAREDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-244-3217
Mailing Address - Street 1:6319 FRANK N DOT CT APT 3
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-2483
Mailing Address - Country:US
Mailing Address - Phone:586-244-3217
Mailing Address - Fax:
Practice Address - Street 1:6319 FRANK N DOT CT APT 3
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2483
Practice Address - Country:US
Practice Address - Phone:586-244-3217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health