Organization
LUTHERAN HOMES OF MICHIGAN, INC.
Active
Parent organization
LUTHERAN HOMES OF MICHIGAN, INC.
Other names
Lutheran Home-Livonia-Special Care Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN HOMES OF MICHIGAN, INC.
Authorized official
MR. MICHAEL G CORBY (CONTROLLER)
(989) 652-3470
Entity
Organization
Contact information
Practice address
28910 PLYMOUTH RD, SPECIAL CARE UNIT, LIVONIA, MI 48150-2337
(734) 425-4814
(734) 425-6024
Mailing address
9710 JUNCTION RD, P.O. BOX 329, FRANKENMUTH, MI 48734-0329
(989) 652-3470
(989) 652-3480
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S 9505
BCBS INS. PROVIDER #
MI
Enumeration date
06/10/2005
Last updated
09/11/2007
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