Organization
ALICE STREET HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER R NELSON (SOLE MEMBER)
(989) 345-5458
Entity
Organization
Contact information
Practice address
29229 COTTON RD APT 104, CHESTERFIELD, MI 48047-5113
(989) 345-5458
Mailing address
29229 COTTON RD APT 104, CHESTERFIELD, MI 48047-5113
(989) 345-5458
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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