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ECHOLS SUPPORT SERVICES INC. NPI 1104331776


NPI Information

NPI: 1104331776
Provider Name: ECHOLS SUPPORT SERVICES, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
25701 RAVINE ST
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 353-4729
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ECHOLS SUPPORT SERVICES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Southfield, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ECHOLS SUPPORT SERVICES, INC. NPI is 1104331776. The provider is registered as an organization entity type.

The provider's business location address is:

25701 RAVINE ST
SOUTHFIELD, MI
ZIP 48033-256
Phone: (248) 353-4729

The provider's authorized official is Brufus Lewis .
The authorized official title is Vice President-operations and has the following contact phone number (248) 353-4729.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/5/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesAS630287634MICHIGANYes

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: 4/28/2024

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