OrganizationActive
Domel Incorporated
NPI 1467660688 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Livonia, MI
Provider details
- NPI number
- 1467660688
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Shawn Brown, Executive Program Manager
Practice location
39293 Plymouth Rd Ste 112
Livonia, MI 48150-1060
Phone: (734) 632-0125
Fax: (734) 632-0126
Mailing address
39293 Plymouth Rd Ste 112
Livonia, MI 48150-1060
Registry dates
- Enumerated
- 2007-05-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.