Mariners Inn in Detroit - Substance Abuse Rehabilitation Facility
Mariners Inn - NPI 1184835084
Mariners Inn is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Mariners Inn practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Mariners Inn is 1184835084. The last update date is 2020-08-22.
Mariners Inn's current location address is 445 Ledyard St, Detroit, Michigan. You can contact this provider via phone number 3139629446 and fax number 3139626395. The mailing address for Mariners Inn is 445 Ledyard St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mariners Inn |
|---|---|
| Address | 445 Ledyard St, Detroit, Michigan |
| Phone Number | 3139629446 |
| Fax Number | 3139626395 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DEPUTY DIR |
|---|---|
| Authorized Official Name | Sampson David |
| Credentials | MSW |
| Telephone Number | 3139629446 |
NPI Number Detail
| NPI Number | 1184835084 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 445 Ledyard St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012641 |
| Phone Number | 3139629446 |
| Fax Number | 3139626395 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 820152 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 820152 | MI | SUBSTANCE ABUSE |
Post Comment/ Review Below
What is the unique identifier code issued to Mariners Inn by the Centers for Medicare & Medicaid Services (CMS)?
The Mariners Inn has been assigned the NPI (National Provider Identifier) 1184835084. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mariners Inn is physically located?
The Mariners Inn is situated at the following address: 445 Ledyard St, Detroit, MI 482012641.
What is Mariners Inn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mariners Inn's area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.
On what date was the 1184835084 assigned to Mariners Inn?
The Mariners Inn was issued its 1184835084 on 2007-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mariners Inn most recently updated or refreshed?
The details pertaining to the Mariners Inn, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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