Organization
IN THE VALLEY ADULT DAY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIYA ANDERSON (SOLE MEMBER)
(313) 265-2969
Entity
Organization
Contact information
Practice address
15781 JAMES COUZENS FWY, DETROIT, MI 48238-1004
(313) 265-2969
Mailing address
15781 JAMES COUZENS FWY, DETROIT, MI 48238-1004
(313) 265-2969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801016233
MI
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
04/20/2016
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