Organization
PERSONALIZED NURSING LIGHT HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PALIWODA MBA, CAC-M, CCS-M (CEO)
(734) 451-7800
Entity
Organization
Contact information
Practice address
7430 NORTH INKSTER ROAD, DEARBORN HEIGHTS, MI 48127
(313) 274-7879
(313) 274-7933
Mailing address
575 S MAIN ST, SUITE 6, PLYMOUTH, MI 48170-1778
(734) 451-7800
(734) 451-5410
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
823088
MI
Other
Enumeration date
02/19/2010
Last updated
02/11/2014
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