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Organization

ALL STAR CAMP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN KMIECIK (DIRECTOR)
(248) 990-1508
Entity
Organization

Contact information

Practice address
29685 TAWAS ST, MADISON HEIGHTS, MI 48071-5425
(248) 990-1508
Mailing address
2360 PEBBLE CREEK DR, OAKLAND, MI 48363-2228
(248) 990-1508

Taxonomy

Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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