NPI 1134203235

Domus Vita

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

Practice location

Address: 14145 Farmington Rd, Livonia, MI 48154-5422
Phone: (734) 293-0034
Fax: (734) 293-0048

Authorised official

Name: Pamela Jablonicky
Title: Executive Director
Phone: (734) 293-0034

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1134203235
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 30 Jul 2024

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.