Provider Demographics
NPI:1750985552
Name:AMERICAN HOUSE DEARBORN HEIGHTS LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:AMERICAN HOUSE DEARBORN HEIGHTS LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANYELL
Authorized Official - Middle Name:C
Authorized Official - Last Name:PETRERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-278-6430
Mailing Address - Street 1:26600 ANN ARBOR TRL
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-1171
Mailing Address - Country:US
Mailing Address - Phone:313-278-6430
Mailing Address - Fax:
Practice Address - Street 1:26600 ANN ARBOR TRL
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-1171
Practice Address - Country:US
Practice Address - Phone:313-278-6430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care