OrganizationActive
Elmira Inc
NPI 1619374899 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Inkster, MI
Provider details
- NPI number
- 1619374899
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lilly Hayes, Executive Director(734) 459-6424
- License
- AS820014194 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense AS820014194 (MI)
Residential Treatment Facilities
Practice location
25855 Carlysle St
Inkster, MI 48141-2604
Phone: (734) 459-6424
Fax: (734) 459-6710
Approximate (ZIP-level) locationGet directions
Mailing address
25855 Carlysle St
Inkster, MI 48141-2604
Registry dates
- Enumerated
- 2014-12-03
- Last updated
- 2014-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.