Organization
SALEM STREET MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE S GUYTON (OWNER)
(313) 505-6525
Entity
Organization
Contact information
Practice address
18474 SALEM ST, DETROIT, MI 48219-3055
(313) 505-6525
Mailing address
18474 SALEM ST, DETROIT, MI 48219-3055
(313) 505-6525
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS820288716
MI
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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