| Organization Name: | DEVONSHIRE MANOR INC. |
| NPI Number: | 1285941971 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MYSTI ROCHOWIAK (ADMINISTRATOR) |
| Mailing Address: | 891 Devonshire Blvd Brighton |
| State: | MI US |
| Postal Code: | 481161705 |
| Phone Number: | 8102204516 |
| Fax Number: | 8102254388 |
| NPI Enumeration Date: | 09/02/2010 |
| NPI Last Update Date: | 09/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | AS470291101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |