Organization
PENNIE OHIA
Active
Other names
Michigan Autism Academy for Staff and Oc
Organization subpart
No
Provider details
NPI number
Authorized official
PENNIE OHIA (OWNER/PROPRIETOR)
(313) 915-2236
Entity
Organization
Contact information
Practice address
17500 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4324
(313) 915-2236
Mailing address
17500 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4324
(313) 915-2236
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7831918
—
MI
Enumeration date
06/15/2015
Last updated
10/11/2015
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