SUPREME INDEPENDENCE ROOM AND BOARD is a lodging in Detroit, MI. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. SUPREME INDEPENDENCE ROOM AND BOARD NPI is 1972267870. The provider is registered as an organization entity type.
The provider's business location address is:
12844 BROADSTREET AVE
DETROIT, MI
ZIP 48238-250
Phone: (313) 459-9538
The provider's authorized official is James Blake .
The authorized official title is Owner and has the following contact phone number (810) 660-1892.
The enumeration date for this NPI number is 10/26/2021 and was last updated on 10/26/2021.