Individual provider · Type 1 NPI

Gwendolyn D. Bush

Adult Day Care Clinic/Center · Southfield, MI

NPI number 1518548601 Active

Practice location

23195 Riverside Dr
Southfield, MI 48033-7301

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

About NPI 1518548601

Gwendolyn D. Bush's National Provider Identifier is 1518548601, issued on Apr 20, 2021. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Southfield, MI. The record was last updated on Apr 20, 2021.