MS. Beverly A Koonce

NPI #1437303104 in Detroit, Michigan

Provider Information

NPI Number
1437303104
Entity Type
Individual
Name
MS. Beverly A Koonce
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Nov 7, 2008
Last Updated
Sep 1, 2011

Practice Location

Address
16520 WHITCOMB ST
ZIP Code
48235-3859
Phone
(313) 835-6557

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility
Custodial Care Facility - Adult Care HomeAdult Care Home

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