Provider Demographics
NPI:1669667838
Name:A AND L HOMES INC.
Entity Type:Organization
Organization Name:A AND L HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHONTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-421-0959
Mailing Address - Street 1:14224 LYONS ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-4632
Mailing Address - Country:US
Mailing Address - Phone:734-421-0959
Mailing Address - Fax:
Practice Address - Street 1:20474 BOURASSA AVE
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN TWP
Practice Address - State:MI
Practice Address - Zip Code:48183-5057
Practice Address - Country:US
Practice Address - Phone:734-671-8903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities