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Personalized Nursing Light House Inc
Substance Abuse Rehabilitation Facility in Canton, Michigan
NPI 1285110767

Personalized Nursing Light House Inc is a Substance Abuse Rehabilitation Facility based in Canton, MI. Personalized Nursing Light House Inc practices in Canton, MI. The NPI Number for Personalized Nursing Light House Inc is 1285110767 and holds a License No. SA0821032 (Michigan).

The current practice location address for Personalized Nursing Light House Inc is 7752 N Canton Center Rd Ste 120, Canton, MI and can be reached out via phone at 734-851-7311 and via fax at 734-851-7312. You can also correspond with Personalized Nursing Light House Inc through the mailing address at 7752 N CANTON CENTER RD STE 120, CANTON, MI - 48187-1328 (mailing address contact number: 734-851-7311).

Location: 7752 N Canton Center Rd Ste 120, Canton, MI, 48187-1328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285110767
Provider Name
Personalized Nursing Light House Inc
Credential
Provider Entity Type
Organization
Address
7752 N Canton Center Rd Ste 120, Canton, MI, 48187-1328
Phone Number
734-851-7311
Fax Number
734-851-7312
Provider Enumeration Date
07/17/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
382942874 01 MI IRS
institution
Provider Business Practice Location Address Details
Address
7752 N Canton Center Rd Ste 120
City
Canton
State
Michigan
Zip
48187
Phone Number
734-851-7311
Fax Number
734-851-7312
person
Provider Business Mailing Address Details
Address
7752 N Canton Center Rd Ste 120
City
Canton
State
Michigan
Zip
48187-1328
Phone Number
734-851-7311
Fax Number
734-851-7312
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
SA0821032 (Michigan)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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