NPI 1306246111

Dtfinancial

Organisation Assisted Living Facility Pontiac, MI

Practice location

Address: 63 N Ardmore St, Pontiac, MI 48342-2703
Phone: (248) 481-6614
Mailing address: 9625 Ransom Hills Ter, North Chesterfield, VA 23237-3470

Authorised official

Name: Danny Thompson
Title: Owner
Phone: (804) 647-7416

Registered specialties (4)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AS630312744 (MI)

Other Assisted Living Facility providers in Michigan →

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AS630312744 (MI)

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Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence AS630312744 (MI)

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X Licence AS630312744 (MI)

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Registry record

NPI: 1306246111
Entity type: Organization
NPI issued: 28 Aug 2014
Record last updated: 2 Dec 2014

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.