Organization · NPI-2

Good Faith Manor LLC

Assisted Living Facility · Southfield, MI

NPI number1538409685
StatusActive
Last updated in NPPESFeb 27, 2013

Details

NPI
1538409685
Entity type
Organization (NPI-2)
Legal business name
Good Faith Manor LLC
Organization subpart
No
Enumeration date
Feb 27, 2013
Last updated
Feb 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living FacilityAF630313888MIYes

Practice location

18759 Greenwald Dr
Southfield, MI 48075-5868

Phone 248-632-3778

Mailing address

18759 Greenwald Dr
Southfield, MI 48075-5868

Phone 248-632-3778

Authorized official

Christine & Fredrick Hayes
Owner
2486323778

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Assisted Living Facility providers in Southfield, MI