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Organization
DIAMOND ADULT FOSTER AND RESPITE HOMES LLC
Active
Organization
DIAMOND ADULT FOSTER AND RESPITE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHIQUITA THOMAS (ADMINISTRATOR)
(313) 704-4641
Entity
Organization
Contact information
Practice address
8028 MIDDLEPOINT ST, DETROIT, MI 48204-3132
(313) 704-4641
(313) 651-5994
Mailing address
8028 MIDDLEPOINT ST, DETROIT, MI 48204-3132
(313) 704-4641
(313) 651-5994
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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