NPI | 1003632027 |
---|---|
Doing Business As | HEALTHY LIVING AFC HOME |
Entity Type | Organization |
Authorized Contact | LAURYN ALEXUS MCKENNEY Co Owner 313-980-4777 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
Enumeration Date | 2024-11-25 |
Last Update Date | 2024-11-25 |