Organization
CARSON AFC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY CARSON (CEO)
31386370510
Entity
Organization
Contact information
Practice address
19384 JAMES COUZENS FWY, DETROIT, MI 48235-1961
(313) 863-7050
Mailing address
19384 JAMES COUZENS, DETROIT, MI 48235
(313) 863-7050
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AM820009843
MI
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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