NPI 1003348145

Reality Response LLC

Organisation Adult Care Home Facility Detroit, MI

Practice location

Address: 2455 W Grand St, Detroit, MI 48238-3445
Phone: (313) 365-7162
Mailing address: 1961 Longfellow St, Detroit, MI 48206-2051

Authorised official

Name: Shadona Lang
Title: Ceo
Phone: (313) 465-2125

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AS820316567 (MI)

Other Custodial Care Facility providers in Michigan →

Registry record

NPI: 1003348145
Entity type: Organization
NPI issued: 29 Mar 2017
Record last updated: 29 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.