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Organization

ATTENDANT SPECIAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY INGRAO SR. (OWNER)
(248) 504-7651
Entity
Organization

Contact information

Practice address
22843 SAGEBRUSH, SUITE 104, NOVI, MI 48375-4166
(248) 504-7651
(248) 773-8319
Mailing address
22843 SAGEBRUSH, SUITE 104, NOVI, MI 48375-4166
(248) 504-7651
(248) 773-8319

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
01/14/2011
Last updated
01/14/2011
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