# KELISER ADULT CARE SERVICES OF MICHIGAN

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

## Provider details

- **NPI number:** 1104635770
- **Authorized official:** DR. LATONYA CARROLL DNP, APRN.CNP (ADMINISTRATOR)
- **Authorized official phone:** (614) 707-2622

## Contact information

- **Practice address:** 1666 S HILL CIR, BLOOMFIELD HILLS, MI 48304-1186
- **Practice address phone:** (504) 240-8887
- **Mailing address:** 1666 S HILL CIR, BLOOMFIELD HILLS, MI 48304-1186
- **Mailing address phone:** (504) 240-8887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2025
- **Last updated:** 01/13/2025