Organization
D & J HOME CARE 3, LLC
Active
Other names
Wadhams Valley Senior Community
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLA FAYE MINOR (ADMINISTRATOR)
(586) 383-4404
Entity
Organization
Contact information
Practice address
33255 26 MILE RD, LENOX, MI 48048-2904
(586) 270-6784
(586) 270-6787
Mailing address
33255 26 MILE RD, LENOX, MI 48048-2904
(586) 270-6784
(586) 270-6787
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
AM500309965
MI
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AM500309972
MI
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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