Organization
DTFINANCIAL
Active
Other names
Ardmore Community Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY THOMPSON (OWNER)
(804) 647-7416
Entity
Organization
Contact information
Practice address
63 N ARDMORE ST, PONTIAC, MI 48342-2703
(248) 481-6614
Mailing address
9625 RANSOM HILLS TER, NORTH CHESTERFIELD, VA 23237-3470
(804) 647-7416
(413) 375-3839
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AS630312744
MI
311ZA0620X
Adult Care Home Facility
AS630312744
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS630312744
MI
343900000X
Non-emergency Medical Transport (VAN)
AS630312744
MI
Other
Enumeration date
08/28/2014
Last updated
12/02/2014
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