Healthcare Provider Details

I. General information

NPI: 1083173017
Provider Name (Legal Business Name): NEWPORT CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 03/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22977 NEWPORT ST
SOUTHFIELD MI
48075-5850
US

IV. Provider business mailing address

30066 PONDSVIEW DR
FRANKLIN MI
48025-1524
US

V. Phone/Fax

Practice location:
  • Phone: 248-353-7818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARTESIA MCNEAL WASHINGTON
Title or Position: PRESIDENT
Credential:
Phone: 248-539-9055