NPI 1346684420

Personalized Nursing Light House INC

Organisation PACE Provider Organization Farmington Hills, MI

Practice location

Address: 23133 Orchard Lake Rd STE 203, Farmington Hills, MI 48336-3268
Phone: (248) 615-1891

Authorised official

Name: Joseph Paliwoda
Title: Ceo
Phone: (734) 451-7800

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 631359 (MI)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Michigan →

Registry record

NPI: 1346684420
Entity type: Organization
NPI issued: 19 Apr 2013
Record last updated: 19 Apr 2013

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.