Organization
XAVIER UNIQUE PLACE FOR US NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERNE R HILL (DIRECTOR)
(248) 469-3460
Entity
Organization
Contact information
Practice address
4783 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-3900
(248) 592-7193
Mailing address
18234 FREELAND ST, DETROIT, MI 48235-2536
(248) 592-7193
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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