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Organization

DELANIE HOUSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAPHNIE E SMITH (PRESIDENT)
(313) 220-3019
Entity
Organization

Contact information

Practice address
9530 CHATHAM, DETROIT, MI 48239-1306
(313) 220-3019
(313) 340-2198
Mailing address
PO BOX 4178, SOUTHFIELD, MI 48037-4178
(313) 220-3019
(313) 340-2198

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
09/10/2018
Last updated
09/10/2018
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