Whalio Doctors

NPI 1922442607

Brianna's Home

Organisation Intellectual Disabilities Intermediate Care Facility Detroit, MI

Practice location

Address
16131 Linwood St, Detroit, MI 48221-3122
Phone
(313) 345-3199
Fax
(313) 345-3610

Authorised official

Name
Antonio Lafeve Ball
Title
Provider
Phone
(313) 657-4282

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence AS820083566 (MI)

Registry record

NPI
1922442607
Entity type
Organization
NPI issued
24 Apr 2013
Record last updated
24 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.