IndividualActive
Kimberly Sanders
NPI 1962386854 · Assisted Living Facility (Behavioral Disturbances) · Detroit, MI
Provider details
- NPI number
- 1962386854
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- AS820418004 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense AS820418004 (MI)
Ambulatory Health Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
14848 Fenkell St
Detroit, MI 48227-2646
Phone: (248) 421-8668
Approximate (ZIP-level) locationGet directions
Mailing address
30845 Running Strm Apt 22
Farmington Hills, MI 48334-1281
Registry dates
- Enumerated
- 2025-08-04
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.