Provider Demographics
NPI:1861720591
Name:PREFERRED PATIENT CARE AND MANAGEMENT CORP
Entity type:Organization
Organization Name:PREFERRED PATIENT CARE AND MANAGEMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:CHECK
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:313-582-7204
Mailing Address - Street 1:5237 OAKMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-4045
Mailing Address - Country:US
Mailing Address - Phone:313-582-7204
Mailing Address - Fax:
Practice Address - Street 1:5237 OAKMAN BLVD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-4045
Practice Address - Country:US
Practice Address - Phone:313-582-7204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health