Liberal Manor Inc in Detroit - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Liberal Manor Inc - NPI 1619041183
Liberal Manor Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Detroit, Michigan. Liberal Manor Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Liberal Manor Inc is 1619041183. The last update date is 2020-08-22.
Liberal Manor Inc's current location address is 129 Virginia Park St, Detroit, Michigan. You can contact this provider via phone number 3138745404 and fax number 2482080024. The mailing address for Liberal Manor Inc is 129 Virginia Park St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberal Manor Inc |
|---|---|
| Address | 129 Virginia Park St, Detroit, Michigan |
| Phone Number | 3138745404 |
| Fax Number | 2482080024 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Davis Blanche Kathleen |
| Telephone Number | 3138745404 |
NPI Number Detail
| NPI Number | 1619041183 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 129 Virginia Park St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022000 |
| Phone Number | 3138745404 |
| Fax Number | 2482080024 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Liberal Manor Inc by the Centers for Medicare & Medicaid Services?
The Liberal Manor Inc has been assigned the NPI (National Provider Identifier) 1619041183 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 address where Liberal Manor Inc is physically located?
The Liberal Manor Inc is situated at the following address: 129 Virginia Park St, Detroit, MI 482022000.
What is Liberal Manor Inc's area of expertise and its corresponding taxonomy classification?
The Liberal Manor Inc's field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1619041183 to Liberal Manor Inc?
The Liberal Manor Inc received its 1619041183 assignment from the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date were the Liberal Manor Inc's details last updated?
The information pertaining to the Liberal Manor Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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