Organization
DAYS AGRACE INTEGRATED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NICHOLS (CEO)
(313) 570-6006
Entity
Organization
Contact information
Practice address
16610 JAMES COUZENS FWY, DETROIT, MI 48221-2867
(313) 570-6006
(313) 931-2956
Mailing address
PO BOX 4030, C/O K. NICHOLS, DETROIT, MI 48204-0030
(313) 570-6006
(313) 931-2956
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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