# MANOR HOUSE I.D.L.S.

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

## Provider details

- **NPI number:** 1871928200
- **Authorized official:** MS. VALARY JOYCE-EWINGS (CEO)
- **Authorized official phone:** (888) 505-5916

## Contact information

- **Practice address:** 21700 NORTHWESTERN HWY, SUITE 880, SOUTHFIELD, MI 48075-4906
- **Practice address phone:** (888) 505-5916
- **Practice address fax:** (313) 450-4533
- **Mailing address:** 21700 NORTHWESTERN HWY, SUITE 880, SOUTHFIELD, MI 48075-4906
- **Mailing address phone:** (888) 505-5916
- **Mailing address fax:** (313) 450-4533

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 09/04/2013
