Organization
SLIM HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE DENHAM (ADMINISTRATOR)
(800) 993-1287
Entity
Organization
Contact information
Practice address
9597 ABINGTON AVE, DETROIT, MI 48227-1001
(800) 993-1287
Mailing address
29480 HIVELEY ST, INKSTER, MI 48141-1039
(248) 254-2676
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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