# HALL'S ADULT FOSTER CARE HOME, INC.

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

## Provider details

- **NPI number:** 1194811950
- **Authorized official:** MACK A. HALL SR. (HOME PROVIDER/PRESIDENT)
- **Authorized official phone:** (313) 247-8250

## Contact information

- **Practice address:** 27321 STANFORD ST, INKSTER, MI 48141-3176
- **Practice address phone:** (313) 562-4141
- **Mailing address:** PO BOX 267, WAYNE, MI 48184-0267
- **Mailing address fax:** (313) 491-4041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | MI | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020