# CAM FAM COMMUNITY CARE LLC

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

## Provider details

- **NPI number:** 1477105369
- **Authorized official:** MRS. KIMBERLY LATRIESE CAMPBELL (OWNER)
- **Authorized official phone:** (313) 721-2558

## Contact information

- **Practice address:** 16718 VAUGHAN ST, DETROIT, MI 48219-3356
- **Practice address phone:** (313) 721-3480
- **Mailing address:** 22200 W 11 MILE RD UNIT 3035, SOUTHFIELD, MI 48037-7082
- **Mailing address phone:** (248) 636-5924

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2019
- **Last updated:** 07/11/2019