Organization · Type 2 NPI

Lively Residential Paradise

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Detroit, MI

NPI number 1760204697 Active

Practice location

16558 Mansfield St
Detroit, MI 48235-3631

Call (313) 229-6215 Map

Mailing address

25900 Greenfield Rd Ste 350
Oak Park, MI 48237-1297

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

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 1760204697

Lively Residential Paradise's National Provider Identifier is 1760204697, issued on Oct 30, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Detroit, MI. The record was last updated on Oct 30, 2024.