Organization
SUCCESSFULLY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARSHA RIGGIN (OPERATOR)
(734) 846-1519
Entity
Organization
Contact information
Practice address
14341 MERRIMAN RD, LIVONIA, MI 48154-4264
(734) 846-1519
(734) 744-4482
Mailing address
14341 MERRIMAN, LIVONIA, MI 48154
(734) 846-1519
(734) 744-4482
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS820313236
MI
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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