Organization · NPI-2

5k Adult Day Care Corporation

Health Maintenance Organization · Detroit, MI

NPI number1437449600
StatusActive
Last updated in NPPESApr 8, 2011

Details

NPI
1437449600
Entity type
Organization (NPI-2)
Legal business name
5k Adult Day Care Corporation
Organization subpart
No
Enumeration date
Apr 8, 2011
Last updated
Apr 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization–MIYes

Practice location

16352 E Warren Ave
Detroit, MI 48224-2716

Phone 313-854-0082

Mailing address

16352 E Warren Ave
Detroit, MI 48224-2716

Phone 313-854-0082

Authorized official

Kirk Young
President
3138540082

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