Provider Demographics
NPI:1669145363
Name:AMEN'S CARE, INC.
Entity type:Organization
Organization Name:AMEN'S CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:OSARETIN
Authorized Official - Middle Name:CARE
Authorized Official - Last Name:UWAIFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-478-1734
Mailing Address - Street 1:9014 ROCKLAND
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1888
Mailing Address - Country:US
Mailing Address - Phone:313-478-1374
Mailing Address - Fax:
Practice Address - Street 1:9014 ROCKLAND
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-1888
Practice Address - Country:US
Practice Address - Phone:313-478-1374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center