Alice Street Home Care LLC
NPI #1750954624 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1750954624
- Entity Type
- Organization
- Organization Name
- Alice Street Home Care LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Jul 20, 2021
- Last Updated
- Jul 20, 2021
Practice Location
- Address
- 29229 COTTON RD APT 104
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48047-5113
- Phone
- (989) 345-5458
Authorized Official
- Name
- MS. JENNIFER R NELSON
- Title
- SOLE MEMBER
- Phone
- (989) 345-5458
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Day Training, Developmentally Disabled Services |
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