Organization
INTEGRATIVE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY JEAN BASANESE (BUSINESS MANAGER)
(734) 210-1866
Entity
Organization
Contact information
Practice address
58 BARKER RD, WHITMORE LAKE, MI 48189-8240
(734) 210-1866
Mailing address
PO BOX 562, WHITMORE LAKE, MI 48189-0562
(734) 210-1866
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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