Organization
PATIENT SUPPORT SERVICES
Active
Parent organization
SPECTRUN HEALTH CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUN HEALTH CARE
Authorized official
MR. RONALD DICICCO (CEO)
(248) 591-9500
Entity
Organization
Contact information
Practice address
28050 JOHN R RD, MADISON HTS, MI 48071-2812
(248) 591-9500
Mailing address
28050 JOHN R RD, MADISON HTS, MI 48071-2812
(248) 591-9500
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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