Organization
INETGRATED ADULT HOME CARE AGENCY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TANYI CHARLES AGBOR-BAIYEE (OWNER)
(734) 635-7044
Entity
Organization
Contact information
Practice address
11425 SAINT ALOYSIUS ST, ROMULUS, MI 48174-1187
(734) 635-7044
Mailing address
11425 SAINT ALOYSIUS ST, ROMULUS, MI 48174-1187
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS820340264
MI
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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