SearchMichiganAdult Care Home Facility

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NPI 1144450404 · on the registry since 2009 · sole proprietor

Practice

Address
11376 Norborne
Redford, MI 48239
Phone
(313) 682-7973

Registry record

Primary taxonomy
Adult Care Home Facility
311ZA0620X
Also registered as
Respite Care Camp
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan