Organization
PERSONALIZED NURSING LIGHT HOUSE INC
Active
Other names
Personalized Nursing LIGHT House Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PALIWODA (CEO)
(810) 231-3839
Entity
Organization
Contact information
Practice address
7752 N CANTON CENTER RD STE 120, CANTON, MI 48187
(734) 851-7311
(734) 851-7312
Mailing address
7752 N CANTON CENTER RD STE 120, CANTON, MI 48187-1328
(734) 851-7311
(734) 851-7312
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0821032
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382942874
IRS
MI
Enumeration date
07/17/2018
Last updated
07/18/2018
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