Mariners Inn

LBN: Mariners Inn
Mariners Inn is an health care organization with primary practice located at 445 Ledyard St , Detroit MI 48201-2641. 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. Mariners Inn can be contacted via phone (313) 962-9446, or through Sampson, David via phone (313) 962-9446.

Contact Information

Primary practice address
445 Ledyard St Detroit MI 48201-2641
Phone: (313) 962-9446
Fax: (313) 962-6395
Website:
Map and Directions
Authorized official contact:
Name: Sampson, David LMSW
Phone: (313) 962-9446

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X SA820152 Michigan

Profile Details

NPI number 1558485466
LBN Legal business name Mariners Inn
DBA Doing business as
Authorized official Sampson, David LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2007
Last updated Apr 20th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558485466 NPPES
Michigan Other 56421819 TPIN ASSIGNMENT

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