WALLACE STREET PARTNERS LLC
NPI 1093255804
Assisted Living Facility - Assisted Living, Mental Illness in Ashley, MI
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About WALLACE STREET PARTNERS LLC
This page provides the complete NPI Profile along with additional information for Wallace Street Partners Llc, a provider established in Ashley, Michigan operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1093255804 assigned on February 2017. The practitioner's primary taxonomy code is 3104A0625X with license number AL290252478 (MI). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Stephanie Lee Seifert Diploma (Administrator)
- NPI
- 1093255804 Verify this NPI
- Provider Name
- WALLACE STREET PARTNERS LLC
- Entity Type
- Organization
- Location Address
- 211 W WALLACE ST ASHLEY, MI 48806
- Location Phone
- (989) 847-2188
- Location Fax
- (989) 847-2183
- Mailing Address
- 211 W WALLACE ST ASHLEY, MI 48806
- Mailing Phone
- (989) 847-2188
- Mailing Fax
- (989) 847-2183
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2017
- Last Update Date
- 02-27-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- AL290252478
- License State
- MI
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ASHLEY, MI 48806
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093255804, enumerated as an "organization" on February 27, 2017.
The provider is located at 211 W WALLACE ST ASHLEY, MI 48806 and the phone number is (989) 847-2188.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
