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Organization

TERRY ADULT FOSTER CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VADIE TERRY (CEO/PROVIDER)
(313) 491-6023
Entity
Organization

Contact information

Practice address
1754 VAN DYKE ST, DETROIT, MI 48214-2634
(313) 921-3957
(313) 931-3474
Mailing address
12747 INDIANA ST, DETROIT, MI 48238-3078
(313) 491-6023
(313) 931-3474

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
06/24/2024
Last updated
06/24/2024
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