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MORIAH ENRICHMENT CENTER LLC NPI 1730757261


NPI Information

NPI: 1730757261
Provider Name: MORIAH ENRICHMENT CENTER, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
8735 MI STATE ROAD 52
MANCHESTER, MI
ZIP 48158
Phone: (734) 428-0369
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MORIAH ENRICHMENT CENTER, LLC is a multi-specialty clinic center in Manchester, MI. MORIAH ENRICHMENT CENTER, LLC NPI is 1730757261. The provider is registered as an organization entity type.

The provider's business location address is:

8735 MI STATE ROAD 52
MANCHESTER, MI
ZIP 48158-445
Phone: (734) 428-0369
Fax: (734) 428-0408

The provider's authorized official is Charles Trojanek .
The authorized official title is Director Of Finance and has the following contact phone number (734) 677-0070.

The enumeration date for this NPI number is 6/11/2021 and was last updated on 7/22/2022.


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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251S00000XCommunity/Behavioral HealthNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesNo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5320700000XResidential Treatment Facility, Physical DisabilitiesNo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
7261QM1300XClinic/CenterMulti-SpecialtyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.