LIBERAL MANOR INC
NPI 1619041183
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Detroit, MI

Q: What is Liberal Manor Inc's NPI number?

The NPI number for Liberal Manor Inc is 1619041183. It was assigned to this organization in the NPPES registry on November 17, 2006.

Q: What is Liberal Manor Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Liberal Manor Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2006

129 VIRGINIA PARK ST, DETROIT, MI 48202(313) 874-5404(248) 208-0024 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Liberal Manor Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERAL MANOR INC (NPI 1619041183) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Detroit, Michigan and active in the NPI registry since November 2006. The organization lists Kathleen Blanche Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619041183

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameLIBERAL MANOR INC

Location Address129 VIRGINIA PARK STDetroit, MI 48202-2000

Mailing Address14981 Liberal StDetroit, MI 48205-1905 · (313) 526-0693 · Fax (248) 208-0024

Phone(313) 874-5404

Fax(248) 208-0024

Organization SubpartNo

Authorized OfficialKathleen Blanche DavisAdministrator · (313) 874-5404

Enumeration DateNovember 17, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1619041183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

129 VIRGINIA PARK ST, Detroit, MI 48202

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberal Manor Inc's NPI number?

The NPI number for Liberal Manor Inc is 1619041183. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Liberal Manor Inc located?

Liberal Manor Inc is located at 129 Virginia Park St, Detroit, MI 48202. The listed phone number is (313) 874-5404.

What is Liberal Manor Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Liberal Manor Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.