Organization
MEADOWLARK HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVOUGHN T. OWENS (PROVIDER)
(248) 240-7647
Entity
Organization
Contact information
Practice address
23580 MEADOWLARK ST, OAK PARK, MI 48237-2275
(248) 545-0133
(248) 864-8724
Mailing address
23580 MEADOWLARK ST, OAK PARK, MI 48237-2275
(248) 545-0133
(248) 864-8724
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS630247107
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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