NPI 1104200526

Successfully Living INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Livonia, MI

Practice location

Address: 14341 Merriman Rd, Livonia, MI 48154-4264
Phone: (734) 846-1519
Fax: (734) 744-4482
Mailing address: 14341 Merriman, Livonia, MI 48154

Authorised official

Name: Earsha Riggin
Title: Operator
Phone: (734) 846-1519

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence AS820313236 (MI)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Michigan →

Registry record

NPI: 1104200526
Entity type: Organization
NPI issued: 15 Jul 2015
Record last updated: 15 Jul 2015

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.