NPI 1245769991

Mecca House Corporation

Organisation Assisted Living Facility (Mental Illness) Pontiac, MI

Practice location

Address: 53 West Huron, Pontiac, MI 48342
Phone: (248) 335-3547
Fax: (248) 335-7449

Authorised official

Name: May Kinnard
Title: Administrator
Phone: (248) 335-3547

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence AS630012369 (MI)

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Registry record

NPI: 1245769991
Entity type: Organization
NPI issued: 7 Jun 2017
Record last updated: 20 Jun 2018

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.