institution
Personalized Nursing Light House, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Plymouth, Michigan
NPI 1639201262

Personalized Nursing Light House, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Plymouth, MI and is specialized in Rehabilitation, Substance Use Disorder. Personalized Nursing Light House, Inc. practices in Plymouth, MI. The NPI Number for Personalized Nursing Light House, Inc. is 1639201262 and holds a License No. 821032 (Michigan).

The current practice location address for Personalized Nursing Light House, Inc. is 575 S Main St Ste 6, Plymouth, MI and can be reached out via phone at 734-451-7800 and via fax at 734-451-5410. You can also correspond with Personalized Nursing Light House, Inc. through the mailing address at 575 S MAIN ST, PLYMOUTH, MI - 48170-1778 (mailing address contact number: 734-451-7800).

Location: 575 S Main St Ste 6, Plymouth, MI, 48170-1778
institution
Provider Profile Details
NPI Number
1639201262
Provider Name
Personalized Nursing Light House, Inc.
Credential
Provider Entity Type
Organization
Address
575 S Main St Ste 6, Plymouth, MI, 48170-1778
Phone Number
734-451-7800
Fax Number
734-451-5410
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
821032 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
575 S Main St Ste 6
City
State
Zip
48170-1778
Phone Number
734-451-7800
Fax Number
734-451-5410
person
Provider Business Mailing Address Details
Address
575 S Main St Ste 6
City
State
Zip
48170-1778
Phone Number
734-451-7800
Fax Number
734-451-5410
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
821032 (Michigan)
Definition
Definition to come...
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