Provider Demographics
NPI:1992239511
Name:MACOMB FAMILY SERVICES, INC
Entity type:Organization
Organization Name:MACOMB FAMILY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS SYSTEMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUPTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-226-3440
Mailing Address - Street 1:124 W GATES ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BRUCE TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48065-4494
Mailing Address - Country:US
Mailing Address - Phone:586-336-0422
Mailing Address - Fax:586-336-0409
Practice Address - Street 1:124 W GATES ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BRUCE TWP
Practice Address - State:MI
Practice Address - Zip Code:48065-4494
Practice Address - Country:US
Practice Address - Phone:586-336-0422
Practice Address - Fax:586-336-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care