Organization
AMAYA GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HANCOCK (LISCENSEE)
(313) 215-1551
Entity
Organization
Contact information
Practice address
59755 HAVENRIDGE RD, NEW HAVEN, MI 48048-1916
(313) 215-1551
Mailing address
59755 HAVENRIDGE RD, NEW HAVEN, MI 48048-1916
(313) 215-1551
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AF500305306
MI
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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