Organization
K AND K ASSISTED LIVING #1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS R BROWN (ACCOUNTANT)
(313) 915-7158
Entity
Organization
Contact information
Practice address
12054 INDIANA, DETROIT, MI 48204
(313) 231-3604
Mailing address
12054 INDIANA, DETROIT, MI 48204
(313) 231-3604
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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