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Organization
METRO ADULT SERVICES
Active
Organization
METRO ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNIDI DANAE HOLLOWAY (OWNER)
(248) 480-3104
Entity
Organization
Contact information
Practice address
16528 MARK TWAIN ST, DETROIT, MI 48235-4063
(248) 480-3104
Mailing address
16528 MARK TWAIN ST, DETROIT, MI 48235-4063
(248) 480-3104
(313) 481-6570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
Other
Enumeration date
04/06/2019
Last updated
06/10/2019
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