NPI 1093251795

Care Divison

Organisation Adult Care Home Facility Dearborn, MI

Practice location

Address: 1008 S Military St, Dearborn, MI 48124-2136
Phone: (734) 620-3946

Authorised official

Name: Oghenereke Lisa Omavuezi
Title: Excutive Director
Phone: (734) 620-3946

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Michigan →

Registry record

NPI: 1093251795
Entity type: Organization
NPI issued: 18 Jan 2017
Record last updated: 18 Jan 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.