| Organization Name: | MAKA SIL & GROUP HOME, INC |
| NPI Number: | 1255665436 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND KYLE WILLIAMS (ASSISTANT DIRECTOR) |
| Mailing Address: | 24123 Greenfield Rd Ste 307 Southfield |
| State: | MI US |
| Postal Code: | 480753125 |
| Phone Number: | 2485958108 |
| Fax Number: | 2485958237 |
| NPI Enumeration Date: | 09/22/2009 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320900000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |