Organization
CARE DIVISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OGHENEREKE LISA OMAVUEZI (EXCUTIVE DIRECTOR)
(734) 620-3946
Entity
Organization
Contact information
Practice address
1008 S MILITARY ST, DEARBORN, MI 48124-2136
(734) 620-3946
Mailing address
1008 S MILITARY ST, DEARBORN, MI 48124-2136
(734) 620-3946
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MI
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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