Adriana Badalamenti

Individual provider Active NPI Case Management Agency · Redford, MI

NPI 1093590440 · NPPES record last updated Sep 27, 2024

Key facts

NPI
1093590440
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
Practice address
9315 Telegraph Rd
Redford, MI 48239-1260
Phone
(313) 450-4500
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Mailing address

23350 Essex Way CT Apt 721
Southfield, MI 48033-3341
Phone (586) 306-4237

Other names

  • Beau Badalamenti Professional name

Other providers in Redford, MI

All providers in Redford, MI · Case Management Agency in Michigan

Sources for this page

Verify at the official NPI Registry.