Organization
TENILLE DANIEL
Active
Other names
Home Away From Home Transitional Homes
Organization subpart
No
Provider details
NPI number
Authorized official
TENILLE DANIEL (OWNER)
(313) 657-4777
Entity
Organization
Contact information
Practice address
17210 RUNYON, DETROIT, MI 48234
(313) 657-4777
Mailing address
PO BOX 34411, DETROIT, MI 48234
(313) 657-4777
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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