Organization
COMPASSIONATE ADVOCATE CARE LLC
Active
Other names
CAC Agency, Compassionate Advocate Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN STALLWORTH (OWNER)
(248) 392-7616
Entity
Organization
Contact information
Practice address
28475 GREENFIELD RD STE 113-1508, SOUTHFIELD, MI 48076-3034
(833) 522-2625
Mailing address
28475 GREENFIELD RD STE 113-1508, SOUTHFIELD, MI 48076-3034
(833) 522-2625
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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