Organization
ORCHARD ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN MAZUR (PRESIDENT)
(248) 254-7874
Entity
Organization
Contact information
Practice address
17352 W 12 MILE RD, SUITE 210, SOUTHFIELD, MI 48076-2119
(248) 254-7874
Mailing address
23023 ORCHARD LAKE RD, BUILDING C, FARMINGTON, MI 48336-3209
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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