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SUPREME INDEPENDENCE ROOM AND BOARD

Lodging Provider

NPI: 1972267870Organization

Specialties, Licenses & Credentials

Lodging

Code: 177F00000X

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Contact & Hours

Address
12844 BROADSTREET AVE
DETROIT, MI 48238

Quick Facts

NPI
1972267870
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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