# INNOVATIVE ADULT FOSTER CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063174878
- **Authorized official:** MONIQUE ANDERSON (ADMINISTRATOR)
- **Authorized official phone:** (313) 452-1977

## Contact information

- **Practice address:** 16510 E 13 MILE RD, ROSEVILLE, MI 48066-7352
- **Practice address phone:** (313) 452-1977
- **Mailing address:** 16510 E 13 MILE RD, ROSEVILLE, MI 48066-7352
- **Mailing address phone:** (313) 452-1977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2021
- **Last updated:** 06/10/2024