Elmira INC

NPI #1619374899 in Inkster, Michigan

Provider Information

NPI Number: 1619374899
Entity Type: Organization
Organization Name: Elmira INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 3, 2014
Last Updated: Dec 3, 2014

Practice Location

Address: 25855 CARLYSLE ST
City: Inkster
State: Michigan
ZIP Code: 48141-2604
Phone: (734) 459-6424

Authorized Official

Name: MRS. LILLY PEARL HAYES
Title: EXECUTIVE DIRECTOR
Phone: (734) 459-6424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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