Organization
ABA ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA DENNERT (MANAGER)
(248) 277-6889
Entity
Organization
Contact information
Practice address
24574 COLIN KELLY, CENTER LINE, MI 48015-1722
(248) 277-6889
Mailing address
24574 COLIN KELLY, CENTER LINE, MI 48015-1722
(248) 277-6889
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
MI
Other
Enumeration date
05/12/2014
Last updated
03/09/2015
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