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Organization
DAVISCARENETWORK INC
Active
Organization
DAVISCARENETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA DAVIS (ADMINISTRATOR/OWNER)
(313) 590-9139
Entity
Organization
Contact information
Practice address
3307 HOUSTON ST, DEARBORN, MI 48124-4159
(313) 278-2805
Mailing address
PO BOX 2977, SOUTHFIELD, MI 48037-2977
(313) 590-9139
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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