| NPI | 1205593878 |
|---|---|
| Doing Business As | MCQUEEN'S HOME CRAE |
| Entity Type | Organization |
| Authorized Contact | MARQUISE C MCQUEEN Owner 313-727-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |