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DERRICK'S ADULT FOSTER CARE INC NPI 1598989717


NPI Information

NPI: 1598989717
Provider Name: DERRICK'S ADULT FOSTER CARE INC

Doing Business As: DAFC

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
4885 IVANHOE ST
DETROIT, MI
ZIP 48204
Phone: (313) 915-2644
Get Directions

DERRICK'S ADULT FOSTER CARE INC is an adult care home custodial care facility in Detroit, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. DERRICK'S ADULT FOSTER CARE INC NPI is 1598989717. The provider is registered as an organization entity type.
The provider Is Doing Business As Dafc.

The provider's business location address is:

4885 IVANHOE ST
DETROIT, MI
ZIP 48204-675
Phone: (313) 915-2644
Fax: (248) 661-5024

The provider's authorized official is Cassandra L Derrick .
The authorized official title is President, Ceo and has the following contact phone number (248) 640-4813.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 1/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeAS820281817MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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