Organization
P & R ADULT FOSTER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LYNN BRYAN-MCCOY (MANAGER/PARTNER)
(313) 784-6738
Entity
Organization
Contact information
Practice address
2785 E GRAND BLVD, DETROIT, MI 48211-2003
(313) 784-6738
Mailing address
2785 E GRAND BLVD, DETROIT, MI 48211-2003
(313) 784-6738
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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