Organization
ALTUM CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA FREEMAN (ADMINISTRATOR)
(313) 377-3776
Entity
Organization
Contact information
Practice address
23408 PLUM HOLLOW ST, SOUTHFIELD, MI 48033-3275
(248) 809-6202
Mailing address
23408 PLUM HOLLOW ST, SOUTHFIELD, MI 48033-3275
(248) 809-6202
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
AS630332450
MI
313M00000X
Nursing Facility/Intermediate Care Facility
AS630332450
MI
385H00000X
Respite Care
AS630332450
MI
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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