Organization
MAPLEWOOD SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY STOKES (OWNER)
(734) 612-5957
Entity
Organization
Contact information
Practice address
21755 MAPLEWOOD DR, SOUTHFIELD, MI 48033-3601
(734) 612-5957
Mailing address
37637 W. 5 MILE ROAD, #223, LIVONIA, MI 48154-1543
(734) 612-5957
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AS630295056
MI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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