Provider Demographics
NPI:1942603634
Name:PROFESSIONAL CARE, INC.
Entity Type:Organization
Organization Name:PROFESSIONAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:S
Authorized Official - Last Name:TYL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-705-7775
Mailing Address - Street 1:2703 TALL TIMBERS DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48380-3844
Mailing Address - Country:US
Mailing Address - Phone:248-705-7775
Mailing Address - Fax:248-685-9799
Practice Address - Street 1:2703 TALL TIMBERS DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48380-3844
Practice Address - Country:US
Practice Address - Phone:248-705-7775
Practice Address - Fax:248-685-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care