Domus Vita

NPI #1134203235 in Livonia, Michigan

Provider Information

NPI Number: 1134203235
Entity Type: Organization
Organization Name: Domus Vita
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 25, 2006
Last Updated: Jul 30, 2024

Practice Location

Address: 14145 FARMINGTON RD
City: Livonia
State: Michigan
ZIP Code: 48154-5422
Phone: (734) 293-0034

Authorized Official

Name: MS. PAMELA JABLONICKY
Title: EXECUTIVE DIRECTOR
Phone: (734) 293-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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