NPI 1053862615

Maplewood Supportive Living

Organisation Assisted Living Facility Southfield, MI

Practice location

Address: 21755 Maplewood Dr, Southfield, MI 48033-3601
Phone: (734) 612-5957
Mailing address: 37637 W. 5 Mile Road #223, Livonia, MI 48154-1543

Authorised official

Name: Dorothy Stokes
Title: Owner
Phone: (734) 612-5957

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AS630295056 (MI)

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Registry record

NPI: 1053862615
Entity type: Organization
NPI issued: 19 Oct 2016
Record last updated: 19 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.