Michigan Habilitation and Learning Center, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MICHIGAN HABILITATION AND LEARNING CENTER, INC

Practice address

6784 W Knollwood
West Bloomfield, MI 48322-3959

Phone

(248) 539-3209

Fax

(248) 424-9957

NPI assigned

Aug 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Medhane Egziabher

Title

Executive Director

Phone

(248) 539-3209

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1124211701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6784 W KNOLLWOOD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223959",
            "telephone_number": "248-539-3209",
            "fax_number": "248-424-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 W KNOLLWOOD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223959",
            "telephone_number": "248-539-3209",
            "fax_number": "248-424-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HABILITATION AND LEARNING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "EGZIABHER",
        "authorized_official_first_name": "MEDHANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-539-3209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.