Individual provider · Type 1 NPI

Tito Timmons Bentley

Adult Day Care Clinic/Center · Detroit, MI

NPI number 1730680406 Active

Practice location

19309 Greenfield Rd
Detroit, MI 48235-2004

Call (313) 300-7177 Map

Mailing address

25681 Code Rd
Southfield, MI 48033-5813

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

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About NPI 1730680406

Tito Timmons Bentley's National Provider Identifier is 1730680406, issued on Feb 27, 2018. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Detroit, MI. The record was last updated on Feb 27, 2018.