Creekwood Trail Adult Foster Care Home
NPI #1598089773 in Davisburg, Michigan
Provider Information
- NPI Number
- 1598089773
- Entity Type
- Organization
- Organization Name
- Creekwood Trail Adult Foster Care Home
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 17, 2010
- Last Updated
- Mar 17, 2010
Practice Location
Authorized Official
- Name
- MS. CAROLYN ANN WILSON
- Title
- HOME CARE PROVIDER
- Phone
- (248) 625-0869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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