# KOUROUMA SERVICES LLC

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

## Provider details

- **NPI number:** 1780996926
- **Authorized official:** MRS. CHANTELLE MORRISON-KOUROUMA RN, M.ED (PRESIDENT)
- **Authorized official phone:** (313) 402-7812

## Contact information

- **Practice address:** 13560 E MCNICHOLS RD, DETROIT, MI 48205-3426
- **Practice address phone:** (313) 402-7812
- **Mailing address:** PO BOX 8235, EASTPOINTE, MI 48021-8235
- **Mailing address phone:** (313) 402-7812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 4704258152 | MI | — |
| 251J00000X | Nursing Care Agency | 4704258152 | MI | — |
| 251K00000X | Public Health or Welfare Agency | 4704258152 | MI | Yes |
| 251S00000X | Community/Behavioral Health Agency | 4704258152 | MI | — |

## Other

- **Enumeration date:** 07/03/2010
- **Last updated:** 07/10/2012