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URBAN ENTERPRISE NPI 1336332972


NPI Information

NPI: 1336332972
Provider Name: URBAN ENTERPRISE

Doing Business As: MGS HAVEN

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
17558 MONICA ST
DETROIT, MI
ZIP 48221
Phone: (313) 345-3489
Get Directions

URBAN ENTERPRISE is a residential treatment facility, intellectual and/or developmental disabilities in Detroit, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. URBAN ENTERPRISE NPI is 1336332972. The provider is registered as an organization entity type.
The provider Is Doing Business As Mgs Haven.

The provider's business location address is:

17558 MONICA ST
DETROIT, MI
ZIP 48221-635
Phone: (313) 345-3489

The provider's authorized official is Valnedra Jamille Shropshire .
The authorized official title is Licensee and has the following contact phone number (313) 549-8546.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 8/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesMICHIGANNo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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