MS. BEVERLY KOONCE
Custodial Care Facility - Adult Care Home
Active
Individual
NPI: 1437303104
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility | 311Z00000X | No | 230011513890806 (MI) |
| Custodial Care Facility - Adult Care Home | 311ZA0620X | Yes | 3477-6190 (MI) |
Frequently Asked Questions
NPI 1437303104 is the National Provider Identifier for MS. BEVERLY KOONCE, a Custodial Care Facility - Adult Care Home provider located in Detroit, MI. This NPI was enumerated on November 7, 2008.
MS. BEVERLY KOONCE practices at 16520 WHITCOMB ST, Detroit, MI 48235.
Quick Facts
- NPI
- 1437303104
- Type
- Individual
- Enumerated
- Nov 7, 2008
- Last Updated
- Sep 1, 2011
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