| Optimum Adult Day Services | |
|
25268 5 Mile Rd Redford MI 48239-3702 | |
| (313) 543-3344 | |
| Not Available |
| Full Name | Optimum Adult Day Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 25268 5 Mile Rd, Redford, Michigan |
| Authorized Official Name and Position | Charles Kerobo (CEO) |
| Authorized Official Contact | 3135433344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Adult Day Services 4575 Wabeek Forest Dr Bloomfield Hills MI 48302-1782 Ph: () - | Optimum Adult Day Services 25268 5 Mile Rd Redford MI 48239-3702 Ph: (313) 543-3344 |
| NPI Number | 1053033043 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Medicare PECOS PAC ID | 4789050972 |
|---|---|
| Medicare Enrollment ID | O20221012003094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053033043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shirley A Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427173558 PECOS PAC ID: 1557461357 Enrollment ID: I20070911000346 |
| Provider Name | Lisa S Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205577137 PECOS PAC ID: 5294108007 Enrollment ID: I20230227000287 |
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