Innovative Adult Foster Care

NPI #1063174878 in Roseville, Michigan

Provider Information

NPI Number: 1063174878
Entity Type: Organization
Organization Name: Innovative Adult Foster Care
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 8, 2021
Last Updated: Jun 10, 2024

Practice Location

Address: 16510 E 13 MILE RD
City: Roseville
State: Michigan
ZIP Code: 48066-7352
Phone: (313) 452-1977

Authorized Official

Name: MONIQUE ANDERSON
Title: ADMINISTRATOR
Phone: (313) 452-1977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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