Personalized Nursing Light House, Inc. in Plymouth - Rehabilitation, Substance Use Disorder
Personalized Nursing Light House, Inc. - NPI 1639201262
Personalized Nursing Light House, Inc. is a Rehabilitation, Substance Use Disorder in Plymouth, Michigan. Personalized Nursing Light House, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Personalized Nursing Light House, Inc. is 1639201262. The last update date is 2018-05-07.
Personalized Nursing Light House, Inc.'s current location address is 575 S Main St, Plymouth, Michigan. You can contact this provider via phone number 7344517800 and fax number 7344515410. The mailing address for Personalized Nursing Light House, Inc. is 575 S Main St, Plymouth, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Personalized Nursing Light House, Inc. |
|---|---|
| Address | 575 S Main St, Plymouth, Michigan |
| Phone Number | 7344517800 |
| Fax Number | 7344515410 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Paliwoda S Joseph |
| Credentials | MBA, CAC-I |
| Telephone Number | 7344517800 |
NPI Number Detail
| NPI Number | 1639201262 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2018-05-07 |
Provider Mailing Address Detail
| Address | 575 S Main St |
|---|---|
| City | Plymouth |
| State | Michigan (MI) |
| Post Code | 481701778 |
| Phone Number | 7344517800 |
| Fax Number | 7344515410 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 821032 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 821032 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Personalized Nursing Light House, Inc. by the Centers for Medicare & Medicaid Services?
The Personalized Nursing Light House, Inc. has been assigned the NPI (National Provider Identifier) 1639201262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Personalized Nursing Light House, Inc. is located?
The Personalized Nursing Light House, Inc. is situated at the following address: 575 S Main St, Plymouth, MI, 481701778.
What is Personalized Nursing Light House, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Personalized Nursing Light House, Inc.'s area of specialization is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0405X.
On what date did the Personalized Nursing Light House, Inc. receive its 1639201262 assignment from the Centers for Medicare & Medicaid Services?
The Personalized Nursing Light House, Inc. was assigned its 1639201262 by the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date were the Personalized Nursing Light House, Inc.'s details last updated?
The information pertaining to the Personalized Nursing Light House, Inc., including its address, specialty, and other details, was most recently updated on 2018-05-07.
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