Provider Demographics
NPI:1477385342
Name:ATASKA CARE SERVICE
Entity type:Organization
Organization Name:ATASKA CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:ATASKA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-993-3206
Mailing Address - Street 1:15503 STEEL ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-4033
Mailing Address - Country:US
Mailing Address - Phone:248-993-3206
Mailing Address - Fax:
Practice Address - Street 1:15503 STEEL ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-4033
Practice Address - Country:US
Practice Address - Phone:248-993-3206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty