Berry Adult Foster Care Homes Inc

NPI 1023310588 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1023310588
Enumeration Date 12/03/2010
Last Updated 12/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ELVA DENISE ELVA
Position OWNER/CEO/PRESIDENT
Phone (313) 579-1881
Fax
Practice Location
3640 MCDOUGALL ST
DETROIT MI, 48207-2344, US
Phone (313) 579-1881
Fax
Business Location
3640 MCDOUGALL ST
DETROIT MI, 48207-2344, US
Phone (313) 579-1881
Fax
Toxanomy
Taxonomy Code 311Z00000X
License State Michigan
License Number AM820010100
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According to our database, Berry Adult Foster Care Homes Inc NPI is 1023310588, taxonomy code is 311Z00000X and license number is AM820010100, license state is located at Michigan. Berry Adult Foster Care Homes Inc physically located at 3640 Mcdougall St, Detroit MI, 48207-2344. NPI Number 1033115704 has the healthcare provider type.

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1023310588 NPI number is provided on an as is basis without warranty of any kind. 1023310588 is maintained by the National Plan & Provider Enumeration System. The contents of Berry Adult Foster Care Homes Inc are for informational purposes only.