Organization · Type 2 NPI

Maplewood Supportive Living, Inc

Physical Disabilities Residential Treatment Facility · Southfield, MI

NPI number 1245508761 Active

Practice location

21755 Maplewood Dr
Southfield, MI 48033-3601

Fax (734) 956-4155

Mailing address

37637 5 Mile Rd, #223
Livonia, MI 48154-1543

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000XAS630295056 (MI)
Mental Illness Community Based Residential Treatment Facility 320800000XAS630295056 (MI)

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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About NPI 1245508761

Maplewood Supportive Living, Inc's National Provider Identifier is 1245508761, issued on Dec 12, 2011. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Southfield, MI. The record was last updated on Dec 12, 2011.