Organization
FRESH START TRANSITIONAL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE SMITH (PRESIDENT)
(313) 850-9220
Entity
Organization
Contact information
Practice address
17839 GODDARD ST, DETROIT, MI 48212-1056
(313) 281-6208
(313) 281-6208
Mailing address
PO BOX 503, NEW BALTIMORE, MI 48047-0503
(313) 850-9220
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS820283748
MI
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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