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Organization
DERRICK'S ADULT FOSTER CARE INC
Active
Organization
DERRICK'S ADULT FOSTER CARE INC
Active
Other names
DAFC
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA L DERRICK BSHCM (PRESIDENT, CEO)
(248) 640-4813
Entity
Organization
Contact information
Practice address
4885 IVANHOE ST, DETROIT, MI 48204-3675
(313) 915-2644
(248) 661-5024
Mailing address
PO BOX 252982, W BLOOMFIELD, MI 48325-2982
(248) 640-4813
(248) 661-5024
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS820281817
MI
Other
Enumeration date
04/11/2007
Last updated
01/12/2012
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