Organization
I CARE HOME SERVICES
Active
Other names
I Care Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONI MONIQUE HARRIS (OWNER)
(248) 686-4280
Entity
Organization
Contact information
Practice address
16610 WORMER ST, DETROIT, MI 48219-3679
(248) 686-4280
Mailing address
PO BOX 1104, DEARBORN, MI 48121-1104
(248) 686-4280
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS820386526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS820386526
ADULT FOSTER CARE FACILITY
MI
Enumeration date
07/10/2018
Last updated
07/10/2018
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