Organization
FOREVER YOUNG SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN STALLWORTH (OWNER)
(313) 454-6835
Entity
Organization
Contact information
Practice address
26962 FRANKLIN ROAD, SUITE 121, SOUTHFIELD, MI 48033
(313) 454-6835
Mailing address
26962 FRANKLIN ROAD, SUITE 121, SOUTHFIELD, MI 48033
(313) 454-6835
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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