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MAPLEWOOD SUPPORTIVE LIVING INC NPI 1245508761


NPI Information

NPI: 1245508761
Provider Name: MAPLEWOOD SUPPORTIVE LIVING, INC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
21755 MAPLEWOOD DR
SOUTHFIELD, MI
ZIP 48033
Phone: (734) 612-5957
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MAPLEWOOD SUPPORTIVE LIVING, INC is a residential treatment facility physical disabilities in Southfield, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MAPLEWOOD SUPPORTIVE LIVING, INC NPI is 1245508761. The provider is registered as an organization entity type.

The provider's business location address is:

21755 MAPLEWOOD DR
SOUTHFIELD, MI
ZIP 48033-601
Phone: (734) 612-5957
Fax: (734) 956-4155

The provider's authorized official is Dorothy Strong-stokes .
The authorized official title is President-ceo and has the following contact phone number (734) 612-5957.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 12/12/2011.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessAS630295056MICHIGANNo
2320700000XResidential Treatment Facility, Physical DisabilitiesAS630295056MICHIGANYes

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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