Organization
PEACE UNIVERSAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAMPANGE KIZZAUREA STEVENS (OWNER)
(313) 974-5579
Entity
Organization
Contact information
Practice address
15680 CRESCENTWOOD AVE, EASTPOINTE, MI 48021-2396
(313) 974-5579
Mailing address
22430 GRATIOT AVE UNIT 333, EASTPOINTE, MI 48021-7015
(313) 974-5579
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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