Provider First Line Business Practice Location Address:
COMMUNITY LIVING SERVICES, KENT COUNTY DIVISION
Provider Second Line Business Practice Location Address:
642 EAST NINE MILE ROAD
Provider Business Practice Location Address City Name:
FERNDALE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-547-2668
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2019