IndividualActive
Gwendolyn Bush
NPI 1518548601 · Adult Day Care Clinic/Center · Southfield, MI
Provider details
- NPI number
- 1518548601
- Entity type
- Individual
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
23195 Riverside Dr
Southfield, MI 48033-7301
Phone: (954) 806-9411
Approximate (ZIP-level) locationGet directions
Mailing address
23195 Riverside Dr
Southfield, MI 48033-7301
Registry dates
- Enumerated
- 2021-04-20
- Last updated
- 2021-04-20
- Certified
- 2021-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.