Executive Care

LBN: Executive Care
Executive Care is an health care organization with primary practice located at 8951 Rutherford St , Detroit MI 48228-2131. The organization recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as the primary health care specialty. Executive Care can be contacted via phone (800) 575-5290, or through Taylor, Tiscur Gwendolyn via phone (800) 575-5270.

Contact Information

Primary practice address
8951 Rutherford St Detroit MI 48228-2131
Phone: (800) 575-5290
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Tiscur Gwendolyn Licensed Practical Nurse (LPN)
Phone: (800) 575-5270

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X

Profile Details

NPI number 1770145872
LBN Legal business name Executive Care
DBA Doing business as
Authorized official Taylor, Tiscur Gwendolyn Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2019
Last updated Jun 28th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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