Organization Name: | APPLE TREE LANE LTD |
NPI Number: | 1063598522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRENE SLOAN (NURSING HOME ADMINISTRATOR) |
Mailing Address: | 10909 Hannan Rd Romulus |
State: | MI US |
Postal Code: | 481741383 |
Phone Number: | 7348931000 |
Fax Number: | 7349417522 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3140N1450X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Skilled Nursing Facility |
Taxonomy Specialization: | Nursing Care, Pediatric |
Taxonomy Definition: | A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |