Organization
NOVUS LIVING LLC
Active
Other names
Novus Living, Novus Living II
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSA JABBOURY (OWNER)
(248) 789-0999
Entity
Organization
Contact information
Practice address
2121 S NEWBURGH RD, WESTLAND, MI 48186-3973
(734) 331-6390
Mailing address
5555 APPLE RIDGE TRL, WEST BLOOMFIELD, MI 48322-1776
(248) 789-0999
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/21/2020
Last updated
06/05/2024
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