Provider Demographics
NPI:1912185943
Name:OFFICE COACH PLUS, LLC
Entity Type:Organization
Organization Name:OFFICE COACH PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TWOREK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:313-244-8048
Mailing Address - Street 1:37637 FIVE MILE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1543
Mailing Address - Country:US
Mailing Address - Phone:313-244-8048
Mailing Address - Fax:
Practice Address - Street 1:37637 FIVE MILE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1543
Practice Address - Country:US
Practice Address - Phone:313-244-8048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010167251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare