# CARTER'S ADULT CARE FACILITIES

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

## Provider details

- **NPI number:** 1992897557
- **Authorized official:** THEODOSHIA CARETER (CEO)
- **Authorized official phone:** (313) 933-1956

## Contact information

- **Practice address:** 8505 PLYMOUTH RD, DETROIT, MI 48204-1905
- **Practice address phone:** (313) 933-1956
- **Practice address fax:** (313) 891-8019
- **Mailing address:** 8505 PLYMOUTH RD, DETROIT, MI 48204-1905
- **Mailing address phone:** (313) 933-1956
- **Mailing address fax:** (313) 891-8019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0334570 | — | MI |
| 05 | — | 0334622 | — | MI |
| 05 | — | 2939344 | — | MI |