Clw Adult Day Care Service LLC
NPI #1497058549 in River Rouge, Michigan
Provider Information
- NPI Number
- 1497058549
- Entity Type
- Organization
- Organization Name
- Clw Adult Day Care Service LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- Dec 13, 2010
- Last Updated
- Dec 13, 2010
Practice Location
- Address
- 10450 W JEFFERSON AVE
- City
- River Rouge
- State
- Michigan
- ZIP Code
- 48218-1334
- Phone
- (313) 575-3573
Authorized Official
- Name
- MS. NAKEYSHA CATHERINE WISDOM
- Title
- C.E.O
- Phone
- (313) 575-3573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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