Provider Demographics
NPI:1023873643
Name:DISABLED INDIVIDUALS MOVE WITH EFFORT INC
Entity type:Organization
Organization Name:DISABLED INDIVIDUALS MOVE WITH EFFORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C/O OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASJANIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-523-5836
Mailing Address - Street 1:19451 WARWICK ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-2140
Mailing Address - Country:US
Mailing Address - Phone:313-523-5836
Mailing Address - Fax:
Practice Address - Street 1:19451 WARWICK ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-2140
Practice Address - Country:US
Practice Address - Phone:313-523-5836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health