Healthcare Provider Details

I. General information

NPI: 1124125265
Provider Name (Legal Business Name): L&L ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3161 HILTON RD
FERNDALE MI
48220-1038
US

IV. Provider business mailing address

3161 HILTON RD
FERNDALE MI
48220-1038
US

V. Phone/Fax

Practice location:
  • Phone: 248-547-6227
  • Fax: 248-399-0190
Mailing address:
  • Phone: 248-547-6227
  • Fax: 248-399-0190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number634190
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number634190
License Number StateMI

VIII. Authorized Official

Name: MR. THOMAS PHELPS
Title or Position: ADMINISTRATOR
Credential:
Phone: 248-547-6227