Swanson'S Adult Foster Home, INC.
In Home Supportive Care in Highland Park, MI. Organization (NPI-2).
NPI number1538513148
StatusActive
Last updated in NPPESApr 20, 2016
Details
- NPI
- 1538513148
- Entity type
- Organization (NPI-2)
- Legal business name
- Swanson'S Adult Foster Home, INC.
- Organization subpart
- No
- Enumeration date
- Apr 20, 2016
- Last updated
- Apr 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Swanson'S Afc Home, INC. (Doing Business As)
Practice location
211 Cortland StHighland Park, MI 48203-3432
Phone 313-865-3205
Mailing address
211 Cortland StHighland Park, MI 48203-3432
Phone 313-865-3205
Authorized official
Jacqueline Swanson
Program Administrator
3138653205
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