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Organization

ASSISTED CARE SOLUTION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKISHA SHONTA HUMBER (CEO)
(313) 414-6166
Entity
Organization

Contact information

Practice address
19976 WARD ST, DETROIT, MI 48235-1139
(313) 414-6166
Mailing address
162 BELLE VILLA BLVD, BELLEVILLE, MI 48111-4906
(313) 414-6166

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8874517
MI
Enumeration date
02/14/2019
Last updated
06/14/2021
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