My Home Away From Home Residential & Physical Therapy
NPI #1689087504 in Highland Park, Michigan
Provider Information
- NPI Number
- 1689087504
- Entity Type
- Organization
- Organization Name
- My Home Away From Home Residential & Physical Therapy
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Jun 9, 2014
- Last Updated
- Jun 9, 2014
Practice Location
- Address
- 1155 W MCNICHOLS RD APT 106
- City
- Highland Park
- State
- Michigan
- ZIP Code
- 48203-2514
- Phone
- (313) 989-7092
Authorized Official
- Name
- MISS STAR BILLY SCHUMAKE
- Title
- OWNER/C.E.O
- Phone
- (313) 989-7092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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