Provider Demographics
NPI:1811973704
Name:DEDICATED IN CARE ENTERPRISE, INC.
Entity type:Organization
Organization Name:DEDICATED IN CARE ENTERPRISE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:DICE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:989-687-2479
Mailing Address - Street 1:1376 W WACKERLY RD
Mailing Address - Street 2:P.O. BOX 559
Mailing Address - City:SANFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48657-9601
Mailing Address - Country:US
Mailing Address - Phone:989-687-9078
Mailing Address - Fax:989-687-6360
Practice Address - Street 1:1376 W WACKERLY RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:MI
Practice Address - Zip Code:48657-9601
Practice Address - Country:US
Practice Address - Phone:989-687-9078
Practice Address - Fax:989-687-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI167-88A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health