NPI 1053879718

Alternative Adult Residence INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Detroit, MI

Practice location

Address: 18403 Kentucky St, Detroit, MI 48221-2029
Phone: (313) 334-1953
Mailing address: 29350 Marimoor Dr, Southfield, MI 48076-1615

Authorised official

Name: Adrienne Flowers
Title: Owner
Phone: (313) 334-1953

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1053879718
Entity type: Organization
NPI issued: 12 Mar 2019
Record last updated: 12 Mar 2019

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.