Organization
MY PEACEFUL REFUGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DAVIS (ADMINISTRATOR - CARE PROVIDER)
(313) 492-8951
Entity
Organization
Contact information
Practice address
20428 NORBORNE, REDFORD, MI 48240-1109
(313) 492-8951
(248) 282-0658
Mailing address
2050 SOUTH BLVD UNIT 175, BLOOMFIELD HILLS, MI 48303-7007
(313) 492-8951
(248) 282-0658
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/22/2021
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