| NPI | 1598989717 |
|---|---|
| Doing Business As | DAFC |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA L DERRICK President, CEO 248-640-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820281817) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-01-12 |