COVENTRY HOMESTEAD, LLC
Adult Care Home
Detroit, Michigan
Provider NPI: 1558527390
Organization Information:Organization Name: COVENTRY HOMESTEAD, LLC
Practice Location:
19402 COVENTRY ST DETROIT, MI 48203 US
Tel: 313-368-4649 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
19402 COVENTRY ST DETROIT, MI 48203 US
Tel: 313-368-4649 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | MI | AS820289860 |