Patient Support Services

NPI #1740480078 in Madison Hts, Michigan

Provider Information

NPI Number: 1740480078
Entity Type: Organization
Organization Name: Patient Support Services
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRUN HEALTH CARE
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jul 24, 2007
Last Updated: Jul 24, 2007

Practice Location

Address: 28050 JOHN R RD
City: Madison Hts
State: Michigan
ZIP Code: 48071-2812
Phone: (248) 591-9500

Authorized Official

Name: MR. RONALD DICICCO
Title: CEO
Phone: (248) 591-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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