Organization
K, D & B ADULT FOSTER CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEIRDRE MICHELLE HICKS CAC-1, AGS (PROGRAM DIRECTOR)
(313) 207-2009
Entity
Organization
Contact information
Practice address
12026 W OUTER DR, DETROIT, MI 48223-2585
(313) 532-1312
Mailing address
7720 MINOCK ST, DETROIT, MI 48228-4513
(313) 240-8926
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MI
Other
Enumeration date
10/19/2006
Last updated
07/21/2022
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