Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EXECUTIVE CARE
Active
Organization
EXECUTIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISCUR GWENDOLYN TAYLOR LPN (NURSE)
(800) 575-5270
Entity
Organization
Contact information
Practice address
8951 RUTHERFORD ST, DETROIT, MI 48228-2131
(800) 575-5290
Mailing address
8951 RUTHERFORD ST, DETROIT, MI 48228-2131
(800) 575-5290
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers