Organization
DIVERSIFIED ALTERNATIVE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENNIFER KERR RN (PRESIDENT)
(248) 227-7633
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR STE 241, SOUTHFIELD, MI 48075-5227
(248) 359-6200
(248) 359-6203
Mailing address
6689 ORCHARD LAKE RD # 328, WEST BLOOMFIELD, MI 48322-3404
(248) 359-6200
(248) 359-6203
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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