WILLIAMS COMMUNITY LIVING INC. NPI 1356424832

NPI Information

WILLIAMS COMMUNITY LIVING, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Detroit, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. WILLIAMS COMMUNITY LIVING, INC. NPI is 1356424832. The provider is registered as an organization entity type.

The provider's business location address is:

2662 W GRAND BLVD
DETROIT, MI
ZIP 48208-237
Phone: (313) 871-7542
Fax: (313) 837-0043

The provider's authorized official is Sandra L Williams-dawson .
The authorized official title is Provider and has the following contact phone number (313) 837-0043.

The CLIA number assigned to this NPI record is 23D2206881 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 9/18/2008.

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:

Other Identifiers

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

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