MS. Beverly A Koonce
MS. Beverly A Koonce is a Custodial Care Facility in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
16520 Whitcomb StDetroit, MI 48235-3859
Phone: (313) 835-6557
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Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 3477-6190 (MI) |
|---|---|
| Custodial Care Facility | Taxonomy 311Z00000X · Licence 230011513890806 (MI) |
Record details
| NPI number | 1437303104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2008 |
| Last updated in NPPES | September 1, 2011 |
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