Provider Demographics
NPI:1700181286
Name:ATTENDANT SPECIAL CARE
Entity Type:Organization
Organization Name:ATTENDANT SPECIAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:INGRAO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:248-504-7651
Mailing Address - Street 1:22843 SAGEBRUSH
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-4166
Mailing Address - Country:US
Mailing Address - Phone:248-504-7651
Mailing Address - Fax:248-773-8319
Practice Address - Street 1:22843 SAGEBRUSH
Practice Address - Street 2:SUITE 104
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-4166
Practice Address - Country:US
Practice Address - Phone:248-504-7651
Practice Address - Fax:248-773-8319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home