Organization
VILLAGE OF HOPE ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTRAIL MCCORD (OWNER)
(248) 750-7739
Entity
Organization
Contact information
Practice address
511 E GRAND BLVD, DETROIT, MI 48207-3636
(248) 750-7739
(313) 725-9493
Mailing address
511 E GRAND BLVD, DETROIT, MI 48207-3636
(248) 750-7739
(313) 725-9493
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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