Organization
LIVING SPLENDIDLY AFC HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURYN ALEXUS MCKENNEY LAURYN MCKENNEY (CO-OWNER)
(313) 980-4777
Entity
Organization
Contact information
Practice address
1453 VIRGINIA PARK ST, DETROIT, MI 48206-2417
(313) 980-4777
Mailing address
1453 VIRGINIA PARK ST, DETROIT, MI 48206-2417
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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