Organization
A SECOND HOME AFC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIYA CASON (OWNER/ADMINISTRATOR)
(313) 681-0776
Entity
Organization
Contact information
Practice address
18501 EMPIRE AVE, EASTPOINTE, MI 48021-2609
(313) 681-0776
Mailing address
18501 EMPIRE AVE, EASTPOINTE, MI 48021-2609
(313) 681-0776
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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