PERSONALIZED NURSING LIGHT HOUSE INC NPI 1285110767

NPI Information

  • NPI: 1285110767
  • Provider Name: PERSONALIZED NURSING LIGHT HOUSE INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Former Legal Business Name: PERSONALIZED NURSING LIGHT HOUSE INC
  • Address: 7752 N CANTON CENTER RD STE 120
    CANTON, MI
    ZIP 48187
  • Phone: (734) 851-7311

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NPI Details

PERSONALIZED NURSING LIGHT HOUSE INC is a substance abuse rehabilitation facility in Canton, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PERSONALIZED NURSING LIGHT HOUSE INC NPI is 1285110767. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Personalized Nursing Light House Inc.

The provider's business location address is:

7752 N CANTON CENTER RD STE 120
CANTON, MI
ZIP 48187
Phone: (734) 851-7311
Fax: (734) 851-7312

The provider's authorized official is Joseph Paliwoda .
The authorized official title is Ceo and has the following contact phone number (810) 231-3839.

The enumeration date for this NPI number is 7/17/2018 and was last updated on 7/18/2018.

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
1324500000XSubstance Abuse Rehabilitation FacilitySA0821032MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1382942874OTHERMICHIGANIRS

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: 11/21/2025

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