Organization
ALL MY CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILDA VANESSA HALL (DIRECTOR OF NURSING)
(313) 585-1622
Entity
Organization
Contact information
Practice address
17301 LIVERNOIS AVE, DETROIT, MI 48221-2758
(313) 585-1622
(313) 342-9674
Mailing address
17301 LIVERNOIS AVE, DETROIT, MI 48221-2758
(313) 585-1622
(313) 342-9674
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124123443
APPLIED FOR MEDICARE
MI
Enumeration date
05/21/2013
Last updated
05/21/2013
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