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Organization
NEW ADVANTAGE INC.
Active
Organization
NEW ADVANTAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIREECE BASS (PRESIDENT)
(313) 829-3034
Entity
Organization
Contact information
Practice address
15375 ARDMORE ST, DETROIT, MI 48227-3222
(313) 829-3034
Mailing address
19964 STOUT ST, DETROIT, MI 48219-2017
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS820388077
MI
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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