Provider Demographics
NPI:1861221616
Name:A & D VENDING LLC
Entity type:Organization
Organization Name:A & D VENDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE GIVER
Authorized Official - Prefix:
Authorized Official - First Name:ATIBA
Authorized Official - Middle Name:KWODWO
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-350-9161
Mailing Address - Street 1:20316 KINGSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-2269
Mailing Address - Country:US
Mailing Address - Phone:313-350-9161
Mailing Address - Fax:313-469-1851
Practice Address - Street 1:20316 KINGSVILLE ST
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-2269
Practice Address - Country:US
Practice Address - Phone:313-350-9161
Practice Address - Fax:313-469-1851
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A & D VENDING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities