person
Lavona Angela Wise
Assisted Living Facility (Mental Illness) in Inkster, Michigan
NPI 1386234607

Lavona Angela Wise is an Assisted Living Facility (Mental Illness) based in Inkster, MI and is specialized in Assisted Living, Mental Illness. Lavona Angela Wise practices in Inkster, MI. The NPI Number for Lavona Angela Wise is 1386234607 and holds a License No. (Michigan).

The current practice location address for Lavona Angela Wise is 28925 Glenwood St, Inkster, MI and can be reached out via phone at 313-461-8691.

Location: 28925 Glenwood St, Inkster, MI, 48141-1625
person
Provider Profile Details
NPI Number
1386234607
Provider Name
Lavona Angela Wise
Credential
Provider Entity Type
Individual
Gender
Female
Address
28925 Glenwood St, Inkster, MI, 48141-1625
Phone Number
313-461-8691
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28925 Glenwood St
City
State
Zip
48141
Phone Number
313-461-8691
Fax Number
person
Provider Business Mailing Address Details
Address
28925 Glenwood St
City
State
Zip
48141
Phone Number
313-461-8691
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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