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Organization

PRISCILLAS GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRITTANY FOSTER (MANAGING OWNER)
(313) 209-1041
Entity
Organization

Contact information

Practice address
21494 AVON LN, SOUTHFIELD, MI 48075-7104
(313) 209-1041
Mailing address
21494 AVON LN, SOUTHFIELD, MI 48075-7104
(313) 209-1041

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
311ZA0620X
Adult Care Home Facility
Primary
320700000X
Physical Disabilities Residential Treatment Facility
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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