23D2007229 CLIA NUMBER - LENAWEE DEPT ON AGING (LDA) DAYBREAK ADULT DAY SERVICES

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Laboratory Demographics

CLIA Number: 23D2007229

Facility Name: LENAWEE DEPT ON AGING (LDA) DAYBREAK ADULT DAY SERVICES

Facility Address:
4650 U S 223
ADRIAN, MI
ZIP 49221
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Facility Phone Number: 517 264-5280

Facility Type: Other - ADULT DAY SERVICES

Certificate Type: Waiver

NPI Number: 1669767810

Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

CLIA Record

Field Name	Field Value
CLIA Number	23D2007229
LAB Type	Other - ADULT DAY SERVICES
Facility Name	LENAWEE DEPT ON AGING (LDA) DAYBREAK ADULT DAY SERVICES
Street	4650 U S 223
City	ADRIAN
State	MI
ZIP	49221
Phone	517 264-5280
CertificateType	4
CertificateEffectiveDate	5/11/2024
CertificateExpirationDate	5/10/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024