Organization
EMERALD CARE LLC
Active
Other names
Emerald Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS F NGANG (CHIEF EXECUTIVE MEMBER)
(248) 861-8365
Entity
Organization
Contact information
Practice address
3000 W GRAND ST, DETROIT, MI 48238
(313) 305-4456
Mailing address
25465 WYKESHIRE RD, FARMINGTON HILLS, MI 48336-1578
(248) 861-8365
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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