Organization
LIVING N MY SPACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PERRY L TAYLOR MBA, MSW (ADMINISTRATOR)
(313) 926-3524
Entity
Organization
Contact information
Practice address
19004 OAK DR, DETROIT, MI 48221-2264
(866) 778-3268
Mailing address
535 GRISWOLD ST STE 541, DETROIT, MI 48226-3672
(313) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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