NPI 1376625848

Faith Adult Foster Care INC.

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

Practice location

Address: 16217 Asbury Park, Detroit, MI 48235-3656
Phone: (313) 272-3824
Mailing address: 30440 Old Stream St, Southfield, MI 48076-1098

Authorised official

Name: Lydia Hodge
Title: Excutive Administrator
Phone: (313) 539-0003

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Registry record

NPI: 1376625848
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 22 Aug 2020

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.