Provider First Line Business Practice Location Address:
35425 MICHIGAN AVENUE W
Provider Second Line Business Practice Location Address:
COMMUNITY LIVING SERVICES
Provider Business Practice Location Address City Name:
WAYNE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-725-1810
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2006