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Organization
VITALITY ADULT FOSTER CARE HOME CO
Active
Organization
VITALITY ADULT FOSTER CARE HOME CO
Active
Other names
Vitality AFC Home
Organization subpart
No
Provider details
NPI number
Authorized official
BRENAE P WEAVER RN (FACILITY ADMINISTRATOR)
(248) 995-5410
Entity
Organization
Contact information
Practice address
11445 MINDEN ST, DETROIT, MI 48205-3762
(248) 995-5410
Mailing address
26026 TELEGRAPH RD STE 200, SOUTHFIELD, MI 48033-2560
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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