Organization
CAM FAM COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY LATRIESE CAMPBELL (OWNER)
(313) 721-2558
Entity
Organization
Contact information
Practice address
16718 VAUGHAN ST, DETROIT, MI 48219-3356
(313) 721-3480
Mailing address
22200 W 11 MILE RD UNIT 3035, SOUTHFIELD, MI 48037-7082
(248) 636-5924
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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