Provider Demographics
NPI:1215277488
Name:TDLS AND ASSOCIATES
Entity type:Organization
Organization Name:TDLS AND ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:QUINNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-766-2722
Mailing Address - Street 1:2860 CARPENTER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1199
Mailing Address - Country:US
Mailing Address - Phone:734-929-9201
Mailing Address - Fax:734-929-9202
Practice Address - Street 1:2860 CARPENTER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1199
Practice Address - Country:US
Practice Address - Phone:734-929-9201
Practice Address - Fax:734-929-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care