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Organization
THE WINCHESTER ASSISTED LIVING & RESPITE HOME LLC
Active
Organization
THE WINCHESTER ASSISTED LIVING & RESPITE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE GILLESPIE (LICENSEE DESIGNEE)
(313) 820-5548
Entity
Organization
Contact information
Practice address
3089 WINCHESTER RD, WEST BLOOMFIELD, MI 48322-2411
(248) 970-2922
Mailing address
3089 WINCHESTER RD, WEST BLOOMFIELD, MI 48322-2411
(248) 970-2922
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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