Organization
WIMBY INC
Active
Other names
CLEO EMILY AFC HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY L. KELLY NEUSEL (ADMINISTRATOR)
(734) 718-0427
Entity
Organization
Contact information
Practice address
6045 KENSINGTON AVE, DETROIT, MI 48224-2072
(734) 718-0427
Mailing address
6045 KENSINGTON AVE, DETROIT, MI 48224-2072
(734) 718-0427
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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