Organization
PRATT'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE VISTA-MARIA PRATT RN (ADMINISTRATOR)
(313) 655-5921
Entity
Organization
Contact information
Practice address
8010 EVERGREEN AVE, DETROIT, MI 48228-2940
(313) 655-5921
Mailing address
28290 TAVISTOCK TRL, SOUTHFIELD, MI 48034-5181
(313) 655-5921
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS820308702
MI
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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