| In The Valley Adult Day Center Llc | |
|
15781 James Couzens Fwy Detroit MI 48238-1004 | |
| (313) 265-2969 | |
| Not Available |
| Full Name | In The Valley Adult Day Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 15781 James Couzens Fwy, Detroit, Michigan |
| Authorized Official Name and Position | Tiya Anderson (SOLE MEMBER) |
| Authorized Official Contact | 3132652969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In The Valley Adult Day Center Llc 15781 James Couzens Fwy Detroit MI 48238-1004 Ph: (313) 265-2969 | In The Valley Adult Day Center Llc 15781 James Couzens Fwy Detroit MI 48238-1004 Ph: (313) 265-2969 |
| NPI Number | 1962871467 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962871467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801016233 (Michigan) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Primary |
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