Male Residential

LBN: Personalized Nursing Light House Inc
Male Residential is an health care organization with primary practice located at 30671 Stephenson Hwy , Madison Heights MI 48071-1635. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Personalized Nursing Light House Inc can be contacted via phone (734) 451-7800, or through Paliwoda, Joseph Stanley via phone (734) 451-7800.

Contact Information

Primary practice address
30671 Stephenson Hwy Madison Heights MI 48071-1635
Phone: (734) 451-7800
Fax: (810) 231-3845
Website:
Map and Directions
Authorized official contact:
Name: Paliwoda, Joseph Stanley
Phone: (734) 451-7800

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X SA0823220 Michigan
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X SA0631403 Michigan

Profile Details

NPI number 1740670512
LBN Legal business name Personalized Nursing Light House Inc
DBA Doing business as Male Residential
Authorized official Paliwoda, Joseph Stanley
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2015
Last updated May 4th, 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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