Organization
SUCCESSFUL LIVING AFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EARSHA L RIGGIN (DIRECTOR)
(734) 744-4481
Entity
Organization
Contact information
Practice address
14341 MERRIMAN RD, LIVONIA, MI 48154-4264
(734) 744-4482
(734) 744-4481
Mailing address
14341 MERRIMAN RD, LIVONIA, MI 48154-4264
(734) 744-4482
(734) 744-4481
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS82031326
MI
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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