| Active Adult Day Center Llc | |
|
5738 Kensington Ave Detroit MI 48224-2071 | |
| (586) 222-8553 | |
| Not Available |
| Full Name | Active Adult Day Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5738 Kensington Ave, Detroit, Michigan |
| Authorized Official Name and Position | Latonya Sain (OWNER) |
| Authorized Official Contact | 5862228553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Adult Day Center Llc 28491 Utica Rd Roseville MI 48066-2593 Ph: (586) 222-8553 | Active Adult Day Center Llc 5738 Kensington Ave Detroit MI 48224-2071 Ph: (586) 222-8553 |
| NPI Number | 1346617149 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346617149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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