Organization
CLARA STEVENS ADULT DAY CARE LLC
Active
Organization
CLARA STEVENS ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LEE JOHNSON (CAREGIVER)
(248) 252-1023
Entity
Organization
Contact information
Practice address
19110 MCCORMICK ST, DETROIT, MI 48224-1018
(248) 252-1023
Mailing address
19110 MCCORMICK ST, DETROIT, MI 48224-1018
(248) 252-1023
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1506511
MI
Other
Enumeration date
03/22/2013
Last updated
09/04/2014
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