MEDICARE: TRIPLE C'S CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1255186474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPLE C'S CARE, INC

Provider Business Mailing Address
First Line	:	PO BOX 871204
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-6204
Country	:	US
Telephone Number	:	313-772-3307
Fax Number	:	734-469-2005

Provider Business Practice Location Address
First Line	:	11353 GRANDVILLE AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-1368
Country	:	US
Telephone Number	:	313-272-2606
Fax Number	:	734-469-2005

Authorized Official
Title or Position	:	PRESIDENT/ CEO
Name	:	FRANCESS C FELIX
Credential	:
Telephone Number	:	313-772-3307

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	04/22/2024

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Directions to “TRIPLE C'S CARE, INC ” Practice Location

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