Provider Demographics
NPI:1457512469
Name:HOME LIFE STYLES INC
Entity Type:Organization
Organization Name:HOME LIFE STYLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, RESIDENTIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SAMMUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-498-8990
Mailing Address - Street 1:27230 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1918
Mailing Address - Country:US
Mailing Address - Phone:586-498-8990
Mailing Address - Fax:586-498-8993
Practice Address - Street 1:27230 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1918
Practice Address - Country:US
Practice Address - Phone:586-498-8990
Practice Address - Fax:586-498-8993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities