Provider Demographics
NPI:1689307605
Name:MY PARENT'S PLACE ADULT DAY CARE
Entity Type:Organization
Organization Name:MY PARENT'S PLACE ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CLINAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-613-9440
Mailing Address - Street 1:4337 WOODBRIAR DR STE 150
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-1539
Mailing Address - Country:US
Mailing Address - Phone:486-139-4402
Mailing Address - Fax:248-905-5003
Practice Address - Street 1:545 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-8075
Practice Address - Country:US
Practice Address - Phone:248-613-9440
Practice Address - Fax:248-905-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care