| Diamond Adult Foster And Respite Homes Llc | |
|
8028 Middlepoint St Detroit MI 48204-3132 | |
| (313) 704-4641 | |
| (313) 651-5994 |
| Full Name | Diamond Adult Foster And Respite Homes Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8028 Middlepoint St, Detroit, Michigan |
| Authorized Official Name and Position | Chiquita Thomas (ADMINISTRATOR) |
| Authorized Official Contact | 3137044641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Adult Foster And Respite Homes Llc 8028 Middlepoint St Detroit MI 48204-3132 Ph: (313) 704-4641 | Diamond Adult Foster And Respite Homes Llc 8028 Middlepoint St Detroit MI 48204-3132 Ph: (313) 704-4641 |
| NPI Number | 1619526100 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619526100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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