Organization
NEW DAWN AFC HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALISA D GLOVER (ADMINISTRATOR)
(313) 422-5711
Entity
Organization
Contact information
Practice address
16918 GRIGGS ST, DETROIT, MI 48221-2880
(313) 422-5711
Mailing address
PO BOX 942, STERLING HEIGHTS, MI 48311-0942
(313) 422-5711
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
09/18/2024
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