# MELVINA CARE LLC.

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

## Provider details

- **NPI number:** 1558712331
- **Authorized official:** MRS. SHANIKA MULDROW (SOL MBR)
- **Authorized official phone:** (248) 277-2233

## Contact information

- **Practice address:** 20561 HEYDEN ST, DETROIT, MI 48219-1424
- **Practice address phone:** (248) 277-2233
- **Mailing address:** 20561 HEYDEN ST, DETROIT, MI 48219-1424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 473104147 | MI | Yes |

## Other

- **Enumeration date:** 06/23/2016
- **Last updated:** 06/23/2016