NPI 1124211701
Michigan Habilitation and Learning Center, INC
Practice location
- Address
- 6784 W Knollwood, West Bloomfield, MI 48322-3959
- Phone
- (248) 539-3209
- Fax
- (248) 424-9957
Authorised official
- Name
- Medhane Egziabher
- Title
- Executive Director
- Phone
- (248) 539-3209
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1124211701
- Entity type
- Organization
- NPI issued
- 27 Aug 2007
- Record last updated
- 27 Aug 2007
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.