# THE WINCHESTER ASSISTED LIVING & RESPITE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790489920
- **Authorized official:** MR. EUGENE GILLESPIE (LICENSEE DESIGNEE)
- **Authorized official phone:** (313) 820-5548

## Contact information

- **Practice address:** 3089 WINCHESTER RD, WEST BLOOMFIELD, MI 48322-2411
- **Practice address phone:** (248) 970-2922
- **Mailing address:** 3089 WINCHESTER RD, WEST BLOOMFIELD, MI 48322-2411
- **Mailing address phone:** (248) 970-2922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 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