Provider Demographics
NPI:1154759645
Name:VIBRUS GROUP, LLC
Entity type:Organization
Organization Name:VIBRUS GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PADDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-443-5100
Mailing Address - Street 1:23100 PROVIDENCE DR
Mailing Address - Street 2:SUITE 227
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3646
Mailing Address - Country:US
Mailing Address - Phone:248-443-5100
Mailing Address - Fax:
Practice Address - Street 1:23100 PROVIDENCE DR
Practice Address - Street 2:SUITE 227
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3646
Practice Address - Country:US
Practice Address - Phone:248-443-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No347C00000XTransportation ServicesPrivate Vehicle