Organization
B.C. DAVIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANNE DAVIS (OWNER OPERATOR)
(313) 220-4577
Entity
Organization
Contact information
Practice address
30040 GRANDVIEW, INKSTER, MI 48141
(734) 722-5056
(734) 727-0903
Mailing address
30040 GRANDVIEW ST, INKSTER, MI 48141-1014
(734) 722-5056
(734) 727-0903
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS8202283668
MI
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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