Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIBERAL MANOR INC
Active
Organization
LIBERAL MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN BLANCHE DAVIS (ADMINISTRATOR)
(313) 874-5404
Entity
Organization
Contact information
Practice address
129 VIRGINIA PARK ST, DETROIT, MI 48202-2000
(313) 874-5404
(248) 208-0024
Mailing address
14981 LIBERAL ST, DETROIT, MI 48205-1905
(313) 526-0693
(248) 208-0024
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers