Courtyard Manor of Wixom

NPI #1134348311 in Wixom, Michigan

Provider Information

NPI Number: 1134348311
Entity Type: Organization
Organization Name: Courtyard Manor of Wixom
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Apr 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 48578 PONTIAC TRL
City: Wixom
State: Michigan
ZIP Code: 48393-2554
Phone: (248) 669-5263

Authorized Official

Name: MR. RONALD M. PARADOWICZ
Title: VICE PRESIDENT
Phone: (248) 926-2920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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