Organization
ASSISTED LIVING SUPPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HODON O FARAH (DIRECTOR OF PATIENT SERVICE)
(734) 883-3370
Entity
Organization
Contact information
Practice address
5898 GLENWOOD DR, CANTON, MI 48187-0030
(734) 883-3370
Mailing address
5898 GLENWOOD DR, CANTON, MI 48187-0030
(734) 883-3370
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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