Nanniegales INC
NPI #1023987773 in Southfield, Michigan
Provider Information
- NPI Number
- 1023987773
- Entity Type
- Organization
- Organization Name
- Nanniegales INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 31, 2025
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 27421 MARSHALL ST
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48076-5142
- Phone
- (313) 704-4071
Authorized Official
- Name
- MS. YOUNG GLENISE FERRA, LICENSEE
- Title
- ADMINISTRATOR
- Phone
- (313) 704-4071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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