Organization · NPI-2
Fairway Senior Services
Assisted Living Facility · Southfield, MI
NPI number1982007662
StatusActive
Last updated in NPPESOct 8, 2014
Details
- NPI
- 1982007662
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairway Senior Services
- Organization subpart
- No
- Enumeration date
- Oct 8, 2014
- Last updated
- Oct 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
29140 Murray Crescent DrSouthfield, MI 48076-5246
Phone 248-281-6910
Mailing address
17386 Maple Hill DrNorthville, MI 48168-3216
Phone 313-205-8040
Authorized official
David P Turner
Managing Member
3132058040
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