Provider Demographics
NPI:1831674746
Name:CRITE'S ADULT FOSTER CARE INC
Entity Type:Organization
Organization Name:CRITE'S ADULT FOSTER CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:CRITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-701-9595
Mailing Address - Street 1:PO BOX 48087
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-5787
Mailing Address - Country:US
Mailing Address - Phone:313-701-9595
Mailing Address - Fax:248-737-2192
Practice Address - Street 1:22140 STRATFORD ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2566
Practice Address - Country:US
Practice Address - Phone:313-701-9595
Practice Address - Fax:248-737-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home