Provider Demographics
NPI:1902001522
Name:PATTERSON CARE SERVICES, INC.
Entity Type:Organization
Organization Name:PATTERSON CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-789-5454
Mailing Address - Street 1:P.O BOX 2214
Mailing Address - Street 2:12 MILE RD
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48332-2214
Mailing Address - Country:US
Mailing Address - Phone:248-855-8422
Mailing Address - Fax:248-855-8412
Practice Address - Street 1:1467 DREW ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77700
Practice Address - Country:US
Practice Address - Phone:713-739-8100
Practice Address - Fax:713-739-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities