Provider Demographics
NPI:1760817571
Name:DEPENDABLE HEALTHCARE SERVICES,INC
Entity Type:Organization
Organization Name:DEPENDABLE HEALTHCARE SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-844-6533
Mailing Address - Street 1:5840 N CANTON CENTER RD STE 212
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2614
Mailing Address - Country:US
Mailing Address - Phone:734-844-6533
Mailing Address - Fax:734-667-5079
Practice Address - Street 1:5840 N CANTON CENTER RD STE 212
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2614
Practice Address - Country:US
Practice Address - Phone:734-844-6533
Practice Address - Fax:734-667-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIO7382C251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health