Healthcare Provider Details

I. General information

NPI: 1619067451
Provider Name (Legal Business Name): SAINTS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35115 E MICHIGAN AVE
WAYNE MI
48184-1660
US

IV. Provider business mailing address

35115 E MICHIGAN AVE
WAYNE MI
48184-1660
US

V. Phone/Fax

Practice location:
  • Phone: 734-722-2221
  • Fax: 734-722-3854
Mailing address:
  • Phone: 734-722-2221
  • Fax: 734-722-3854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateMI

VIII. Authorized Official

Name: MR. PAUL KENNEDY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 734-722-2221