Provider Demographics
NPI:1982903415
Name:MSKARE MANAGEMENT
Entity Type:Organization
Organization Name:MSKARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GUARDIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-740-9090
Mailing Address - Street 1:3570 GUILFORD ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-2240
Mailing Address - Country:US
Mailing Address - Phone:313-740-9090
Mailing Address - Fax:
Practice Address - Street 1:3570 GUILFORD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-2240
Practice Address - Country:US
Practice Address - Phone:313-740-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care