Organization
PRIME CARE MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMELIA BURDETT-FOSTER (DIRECTOR/CEO)
(313) 720-1702
Entity
Organization
Contact information
Practice address
554 SUPERIOR ST, RIVER ROUGE, MI 48218-1148
(313) 720-1702
Mailing address
PO BOX 47252, OAK PARK, MI 48237-4952
(313) 720-1702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
03/20/2026
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