Organization
SOUTHERN STYLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL R CARSON (DIRECTOR)
(313) 790-4032
Entity
Organization
Contact information
Practice address
8222 JOY RD, DETROIT, MI 48204-3253
(313) 790-4032
Mailing address
8222 JOY RD, DETROIT, MI 48204-3253
(313) 790-4032
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/11/2022
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