Organization
HARNOMY HEALTHCARE AND REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNSON UZOMAA ODUKA (PROVIDER/CEO)
(313) 575-7000
Entity
Organization
Contact information
Practice address
26153 COLGATE ST, INKSTER, MI 48141-3279
(313) 575-7000
Mailing address
4220 GLORIA ST, WAYNE, MI 48184-2253
(313) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
NONE
VT
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
NONE
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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