Organization
PRIVATE CARE 4U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICITA TAYLOR (EXECUTIVE DIRECTOR)
(248) 757-2307
Entity
Organization
Contact information
Practice address
2527 PETERBORO RD, WEST BLOOMFIELD, MI 48323-3119
(248) 757-2307
Mailing address
2527 PETERBORO RD, WEST BLOOMFIELD, MI 48323-3119
(248) 757-2307
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/15/2009
Last updated
08/15/2009
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