Organization
DYNASTY SENIOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN BOATMON (OWNER)
(313) 214-6855
Entity
Organization
Contact information
Practice address
1021 CLAIRPOINTE ST, DETROIT, MI 48215-2985
(313) 214-6855
Mailing address
2992 MARLBOROUGH ST, DETROIT, MI 48215-2592
(313) 214-6855
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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