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Organization
SL CARE ADVOCACY LLC
Active
Organization
SL CARE ADVOCACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QEYATA MCCOY ABA CBRM, LPN (ADMINISTRATOR)
(248) 710-4393
Entity
Organization
Contact information
Practice address
418 N MAIN ST, ROYAL OAK, MI 48067-1813
(248) 571-0200
Mailing address
PO BOX 1032, ROYAL OAK, MI 48068-1032
(248) 710-4393
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
Other
Enumeration date
09/27/2021
Last updated
11/26/2021
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