Excelsior Home 1 Inc.

LBN: Excelsior Home 1 Inc.
Excelsior Home 1 Inc. is an health care organization with primary practice located at 129 Virginia Park , Detroit MI 48202. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Excelsior Home 1 Inc. can be contacted via phone (313) 874-5594, or through Davis, Kathleen via phone (313) 874-5404.

Contact Information

Primary practice address
129 Virginia Park Detroit MI 48202
Phone: (313) 874-5594
Fax: (248) 208-0024
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kathleen
Phone: (313) 874-5404

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Michigan

Profile Details

NPI number 1891917191
LBN Legal business name Excelsior Home 1 Inc.
DBA Doing business as
Authorized official Davis, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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