NPI 1023310588

Berry Adult Foster Care Homes INC

Organisation Adult Care Home Facility Detroit, MI

Practice location

Address: 3640 McDougall St, Detroit, MI 48207-2344
Phone: (313) 579-1881

Authorised official

Name: Elva Denise Steward-Carson
Title: Owner/Ceo/President
Phone: (313) 579-1881

Registered specialties (5)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AM820010100 (MI)

Other Custodial Care Facility providers in Michigan →

Custodial Care Facility

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence AM820010100 (MI)

Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X Licence AM820010100 (MI)

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence AM820010100 (MI)

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Respite Care

Respite Care Facility Taxonomy 385H00000X Licence AM820010100 (MI)

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Registry record

NPI: 1023310588
Entity type: Organization
NPI issued: 3 Dec 2010
Record last updated: 3 Dec 2010

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.