Healthcare Provider Details

I. General information

NPI: 1922181312
Provider Name (Legal Business Name): COMMUNITY OPPORTUNITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33014 5 MILE RD
LIVONIA MI
48154-3075
US

IV. Provider business mailing address

33014 5 MILE RD
LIVONIA MI
48154-3075
US

V. Phone/Fax

Practice location:
  • Phone: 734-422-1020
  • Fax: 734-422-7401
Mailing address:
  • Phone: 734-422-1020
  • Fax: 734-422-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENISE LYNN KING
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 734-422-1020