Organization
CITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN BOYLE (DIRECTOR)
(650) 255-4547
Entity
Organization
Contact information
Practice address
17183 GRIGGS ST, DETROIT, MI 48221-2426
(650) 255-4547
Mailing address
17301 LIVERNOIS AVE STE 929, DETROIT, MI 48221-2758
(650) 255-4547
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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