Provider Demographics
NPI:1871374975
Name:ADVANCED CHORE CARE SERVICES
Entity type:Organization
Organization Name:ADVANCED CHORE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DOURRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:133-559-7272
Mailing Address - Street 1:1900 INKSTER RD
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-1804
Mailing Address - Country:US
Mailing Address - Phone:734-445-0455
Mailing Address - Fax:734-215-1235
Practice Address - Street 1:1900 INKSTER RD
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-1804
Practice Address - Country:US
Practice Address - Phone:734-445-0455
Practice Address - Fax:734-215-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care