Organization
CARTER'S ADULT CARE FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODOSHIA CARETER (CEO)
(313) 933-1956
Entity
Organization
Contact information
Practice address
8505 PLYMOUTH RD, DETROIT, MI 48204-1905
(313) 933-1956
(313) 891-8019
Mailing address
8505 PLYMOUTH RD, DETROIT, MI 48204-1905
(313) 933-1956
(313) 891-8019
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334570
—
MI
05
—
0334622
—
MI
05
—
2939344
—
MI
Enumeration date
09/29/2006
Last updated
08/22/2020
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