DERRICK'S ADULT FOSTER CARE INC
Nursing at Ivanhoe St, Detroit, MI

License number
Michigan AS820281817
Category
Nursing
Type
Adult Care Home
Owner
Name: CASSANDRA L DERRICK BSHCM
Title: PRESIDENT, CEO
Phone: (248) 640-4813
Address
Address 2
4885 Ivanhoe St, Detroit, MI 48204
PO Box 252982, West Bloomfield, MI 48325
National Provider ID: 1598989717
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DERRICK'S ADULT FOSTER CARE, INC

Detroit, MI

Registration:
Feb 2, 2006
Addresses:
4885 Ivanhoe, Detroit, MI 48204 (Physical)
5004 31 St, Detroit, MI 48210 (Mailing)
State ID:
09315E
Business type:
Domestic Profit Corporation
Agent:
Cassandra Derrick

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