Organization · Type 2 NPI
My Home Away From Home Residential & Physical Therapy
Physical Disabilities Residential Treatment Facility · Highland Park, MI
NPI number
1689087504
Active
Practice location
1155 W Mcnichols Rd Apt 106
Highland Park, MI 48203-2514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | E4609Q (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.
About NPI 1689087504
My Home Away From Home Residential & Physical Therapy's National Provider Identifier is 1689087504, issued on Jun 9, 2014. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Highland Park, MI. The record was last updated on Jun 9, 2014.