Organization
TOMAS VENTURES RESIDENCE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISPAL EZENABO (HOME PROVIDER)
(313) 346-7764
Entity
Organization
Contact information
Practice address
15763 WOODBINE, REDFORD, MI 48239-3537
(313) 541-6647
Mailing address
47225 NORTHUMBERLAND ST, NOVI, MI 48374-4319
(313) 346-7784
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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