Provider Demographics
NPI:1245589431
Name:COMPLI-HEALTH TECHNOLOGIES, INC
Entity Type:Organization
Organization Name:COMPLI-HEALTH TECHNOLOGIES, INC
Other - Org Name:SPRAWLING RAVINES OF OAKLAND COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:248-569-7775
Mailing Address - Street 1:PO BOX 47922
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-5622
Mailing Address - Country:US
Mailing Address - Phone:248-569-7775
Mailing Address - Fax:248-552-1329
Practice Address - Street 1:32999 W 14 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1000
Practice Address - Country:US
Practice Address - Phone:248-432-7962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-03
Last Update Date:2012-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS630316594311500000X, 311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)