Organization
BERRY ADULT FOSTER CARE HOMES INC
Active
Other names
One on One Respite Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELVA DENISE STEWARD-CARSON RN MBA (OWNER/CEO/PRESIDENT)
(313) 579-1881
Entity
Organization
Contact information
Practice address
3640 MCDOUGALL ST, DETROIT, MI 48207-2344
(313) 579-1881
Mailing address
3640 MCDOUGALL ST, DETROIT, MI 48207-2344
(313) 579-1881
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
AM820010100
MI
311ZA0620X
Adult Care Home Facility
Primary
AM820010100
MI
320700000X
Physical Disabilities Residential Treatment Facility
AM820010100
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
AM820010100
MI
385H00000X
Respite Care
AM820010100
MI
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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