# DIVERSIFIED ALTERNATIVE LIVING, LLC

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

## Provider details

- **NPI number:** 1386496750
- **Authorized official:** MS. KENNIFER KERR RN (PRESIDENT)
- **Authorized official phone:** (248) 227-7633

## Contact information

- **Practice address:** 16250 NORTHLAND DR STE 241, SOUTHFIELD, MI 48075-5227
- **Practice address phone:** (248) 359-6200
- **Practice address fax:** (248) 359-6203
- **Mailing address:** 6689 ORCHARD LAKE RD \# 328, WEST BLOOMFIELD, MI 48322-3404
- **Mailing address phone:** (248) 359-6200
- **Mailing address fax:** (248) 359-6203

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2024
- **Last updated:** 04/01/2024