Organization
K & K ASSISTED LIVING #2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN BONNER (EXECUTIVE DIRECTOR)
(313) 452-2310
Entity
Organization
Contact information
Practice address
12060 INDIANA ST, DETROIT, MI 48204-1084
(313) 452-2310
Mailing address
12060 INDIANA ST, DETROIT, MI 48204-1084
(313) 452-2310
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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