Organization
A&R PREMIERE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTLY DEAUN REDDICK II (OWNER)
(734) 439-8125
Entity
Organization
Contact information
Practice address
12245 ALLISON RD, MILAN, MI 48160-9145
(734) 439-8125
Mailing address
12245 ALLISON RD, MILAN, MI 48160-9145
(734) 439-8125
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AF580338269
MI
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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