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Organization

SAMARITAN HOMES INC.

Active
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Organization

SAMARITAN HOMES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH JORDAN (EXECTUIVE DIRECTOR)
(248) 399-8115
Entity
Organization

Contact information

Practice address
22610 ROSEWOOD ST, OAK PARK, MI 48237-2904
(248) 399-8115
Mailing address
22610 ROSEWOOD ST, OAK PARK, MI 48237-2904
(248) 399-8115

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—

Other

Enumeration date
09/28/2007
Last updated
05/23/2013
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