Provider Demographics
NPI:1003689035
Name:HAMPTON MANOR OF CLINTON,LLC
Entity Type:Organization
Organization Name:HAMPTON MANOR OF CLINTON,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY RELATIONS DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-796-6601
Mailing Address - Street 1:18401 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-2565
Mailing Address - Country:US
Mailing Address - Phone:734-796-6601
Mailing Address - Fax:
Practice Address - Street 1:18401 15 MILE RD
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48035-2565
Practice Address - Country:US
Practice Address - Phone:586-649-9037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility