NPI 1245508761

Maplewood Supportive Living, INC

Organisation Physical Disabilities Residential Treatment Facility Southfield, MI

Practice location

Address: 21755 Maplewood Dr, Southfield, MI 48033-3601
Phone: (734) 612-5957
Fax: (734) 956-4155
Mailing address: 37637 5 Mile Rd #223, Livonia, MI 48154-1543

Authorised official

Name: Dorothy Strong-Stokes
Title: President-Ceo
Phone: (734) 612-5957

Registered specialties (2)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence AS630295056 (MI)

Other Residential Treatment Facility, Physical Disabilities providers in Michigan →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence AS630295056 (MI)

Other Community Based Residential Treatment Facility, Mental Illness providers in Michigan →

Registry record

NPI: 1245508761
Entity type: Organization
NPI issued: 12 Dec 2011
Record last updated: 12 Dec 2011

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.