Organization
LIVING LIFE ADULT PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILANE TAYLOR (OWNER)
(248) 818-6556
Entity
Organization
Contact information
Practice address
19740 JAMES COUZENS FWY, DETROIT, MI 48235-1936
(248) 818-6556
Mailing address
19740 JAMES COUZENS FWY, DETROIT, MI 48235-1936
(248) 818-6556
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
04/12/2019
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