Provider Demographics
NPI:1518639343
Name:THERAPEUTIC OPTIONS FOR MEDICAL STABILITY
Entity Type:Organization
Organization Name:THERAPEUTIC OPTIONS FOR MEDICAL STABILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KEENMON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-881-0018
Mailing Address - Street 1:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48139
Mailing Address - Country:US
Mailing Address - Phone:248-881-0018
Mailing Address - Fax:
Practice Address - Street 1:11123 SHADOW WOODS LANE
Practice Address - Street 2:
Practice Address - City:WHITMORE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48189
Practice Address - Country:US
Practice Address - Phone:248-881-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty