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Organization

PERSONALIZED NURSING LIGHT HOUSE INC

Active
Other names
Male Residential
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH STANLEY PALIWODA (CEO)
(734) 451-7800
Entity
Organization

Contact information

Practice address
30671 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1635
(734) 451-7800
(810) 231-3845
Mailing address
PO BOX 625, LAKELAND, MI 48143-0625
(734) 451-7800
(810) 231-3845

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0631403
MI
324500000X
Substance Abuse Rehabilitation Facility
SA0823220
MI

Other

Enumeration date
01/30/2015
Last updated
05/04/2018
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