Organization
TLS LITCHFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEOPAS ALLAN KALIATI MA (OWNER)
(269) 760-8553
Entity
Organization
Contact information
Practice address
6023 LITCHFIELD LN, KALAMAZOO, MI 49009-9128
(269) 375-0438
Mailing address
6023 LITCHFIELD LN, P.O. BOX 19316, KALAMAZOO, MI 49019
(269) 375-0438
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS390257369
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS390263898
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS390271092
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS390283892
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS800281915
MI
Other
Enumeration date
05/14/2007
Last updated
06/23/2008
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