Organization
FAITH DRIVEN ADULT DAY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJA VASQUEZ ESQ (OWNER)
(313) 806-7075
Entity
Organization
Contact information
Practice address
21009 ITHACA AVE, FERNDALE, MI 48220-2139
(313) 806-7075
Mailing address
PO BOX 4210, SOUTHFIELD, MI 48037-4210
(313) 806-7075
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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