23D2201735 CLIA NUMBER - ELM HOUSE

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Laboratory Demographics

CLIA Number: 23D2201735

Facility Name: ELM HOUSE

Facility Address:
825 W ELM AVE
MONROE, MI
ZIP 48162
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Facility Phone Number: 734 242-2177

Facility Type: Other - ADULT FOSTER CARE

Certificate Type: Waiver

NPI Number: 1710431556

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	23D2201735
LAB Type	Other - ADULT FOSTER CARE
Facility Name	ELM HOUSE
Street	825 W ELM AVE
City	MONROE
State	MI
ZIP	48162
Phone	734 242-2177
CertificateType	4
CertificateEffectiveDate	11/23/2022
CertificateExpirationDate	11/22/2024
FacilityType	Waiver

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