| NPI | 1942307590 |
|---|---|
| Former Legal Business Name | OAKFIELD HOME |
| Entity Type | Organization |
| Authorized Contact | NICHOLE AULEASE LANDERS Owner 313-384-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI 320600000X) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |