Organization
ELITE AFC III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA SALEH (DIRECTOR)
(973) 955-7825
Entity
Organization
Contact information
Practice address
2120 BRADLEY AVE, YPSILANTI, MI 48198-9233
(734) 340-2112
Mailing address
PO BOX 701160, PLYMOUTH, MI 48170-0960
(973) 955-7825
(269) 883-9353
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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