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Agencies at Indiana St, Detroit, MI

License number
Michigan AS820338244
Category
Nursing
Type
Nursing Facility/Intermediate Care Facility
License number
Michigan AS820338244
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
License number
Michigan AS8203398244
Category
Agencies
Type
Foster Care Agency
Owner
Name: MR. JEAN FELIX NYAMBIO CRNA
Title: CEO
Phone: (301) 332-3009
Address
Address
17180 Indiana St, Detroit, MI 48221
National Provider ID: 1609209634
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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