Organization
5K ADULT DAY CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK YOUNG (PRESIDENT)
(313) 854-0082
Entity
Organization
Contact information
Practice address
16352 E WARREN AVE, DETROIT, MI 48224-2716
(313) 854-0082
Mailing address
16352 E WARREN AVE, DETROIT, MI 48224-2716
(313) 854-0082
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MICHIGAN
ADULT DAY CARE
MI
Enumeration date
04/08/2011
Last updated
04/08/2011
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