Liberal Manor Inc

LBN: Liberal Manor Inc
Liberal Manor Inc is an health care organization with primary practice located at 129 Virginia Park St , Detroit MI 48202-2000. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Liberal Manor Inc can be contacted via phone (313) 874-5404, or through Davis, Kathleen Blanche via phone (313) 874-5404.

Contact Information

Primary practice address
129 Virginia Park St Detroit MI 48202-2000
Phone: (313) 874-5404
Fax: (248) 208-0024
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kathleen Blanche
Phone: (313) 874-5404

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Michigan

Profile Details

NPI number 1619041183
LBN Legal business name Liberal Manor Inc
DBA Doing business as
Authorized official Davis, Kathleen Blanche
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

Request for update

Popular Providers