Organization
LIFE SKILLS RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATE GARDIN (CHIEF OPERATING OFFICER)
(248) 788-4300
Entity
Organization
Contact information
Practice address
28555 ORCHARD LAKE RD, SUITE 106, FARMINGTON HILLS, MI 48334-2973
(248) 536-5080
Mailing address
28555 ORCHARD LAKE RD, SUITE 106, FARMINGTON HILLS, MI 48334-2973
(248) 536-5080
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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