OrganizationActive
Detroit Family Home
NPI 1609209634 · Custodial Care Facility · Detroit, MI
Provider details
- NPI number
- 1609209634
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jean Nyambio, Ceo(301) 332-3009
- License
- AS820338244 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense AS820338244 (MI)
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
17180 Indiana St
Detroit, MI 48221-2445
Phone: (313) 270-7751
Fax: (313) 270-7291
Approximate (ZIP-level) locationGet directions
Mailing address
17180 Indiana St
Detroit, MI 48221-2445
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2017-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.