Organization · Type 2 NPI
Miller & Moss Afc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Inkster, MI
Practice location
3638 Irene St
Inkster, MI 48141-2127
Fax (734) 895-8873
Mailing address
3409 Irene St
Inkster, MI 48141-2124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AS820295801 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | AS820295801 (MI) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1225511157
Miller & Moss Afc's National Provider Identifier is 1225511157, issued on Sep 6, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Inkster, MI. The record was last updated on Sep 6, 2018.