Organization
THE NOBLE HOME II, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY SIBERT (PRESIDENT)
(313) 477-0461
Entity
Organization
Contact information
Practice address
327 E GRAND BLVD, DETROIT, MI 48207-3616
(313) 922-4164
(313) 736-3781
Mailing address
19620 CHERRYLAWN ST, DETROIT, MI 48221-1606
(313) 477-0461
(313) 736-3781
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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