Organization
ONE STEP FORWARD SIL HOUSING COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HAYES (EXECUTIVE DIRECTOR)
(313) 571-4423
Entity
Organization
Contact information
Practice address
2711 E JEFFERSON AVE, SUITE 205, DETROIT, MI 48207-4105
(313) 571-4423
Mailing address
2711 E JEFFERSON AVE, SUITE 205, DETROIT, MI 48207-4105
(313) 571-4423
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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