Provider Demographics
NPI:1831568500
Name:EXPERT ENTERPRISES
Entity type:Organization
Organization Name:EXPERT ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE GIVER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-864-9433
Mailing Address - Street 1:18453 WOODINGHAM DR UPPR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2155
Mailing Address - Country:US
Mailing Address - Phone:313-864-9433
Mailing Address - Fax:
Practice Address - Street 1:18453 WOODINGHAM DR UPPR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2155
Practice Address - Country:US
Practice Address - Phone:313-864-9433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities