Organization
PERSONALIZED NURSING LIGHT HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PALIWODA (CEO)
(734) 451-7800
Entity
Organization
Contact information
Practice address
23133 ORCHARD LAKE RD, STE 203, FARMINGTON HILLS, MI 48336-3268
(248) 615-1891
Mailing address
23133 ORCHARD LAKE RD, STE 203, FARMINGTON HILLS, MI 48336-3268
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
631359
MI
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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