# XAVIER UNIQUE PLACE FOR US NORTH

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

## Provider details

- **NPI number:** 1902478084
- **Authorized official:** LAVERNE R HILL (DIRECTOR)
- **Authorized official phone:** (248) 469-3460

## Contact information

- **Practice address:** 4783 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-3900
- **Practice address phone:** (248) 592-7193
- **Mailing address:** 18234 FREELAND ST, DETROIT, MI 48235-2536
- **Mailing address phone:** (248) 592-7193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2021
- **Last updated:** 07/16/2021