Organization
CHOICE ONE INVESTMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DELMA NORRIS LPN (LICENSEE/ADMINISTATOR)
(248) 799-0891
Entity
Organization
Contact information
Practice address
25140 WAYCROSS, SOUTHFIELD, MI 48033-2232
(248) 799-0891
(248) 799-0961
Mailing address
4329 SPRUCE ST, INKSTER, MI 48141-2925
(248) 799-0891
(248) 799-0961
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS630300566
MI
320700000X
Physical Disabilities Residential Treatment Facility
AS630300566
MI
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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