Organization
ACTIVE ADULT DAY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATONYA SAIN (OWNER)
(586) 222-8553
Entity
Organization
Contact information
Practice address
5738 KENSINGTON AVE, DETROIT, MI 48224-2071
(586) 222-8553
Mailing address
28491 UTICA RD, ROSEVILLE, MI 48066-2593
(586) 222-8553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
03/31/2017
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