OrganizationActive
Personalized Nursing Light House, Inc.
NPI 1639201262 · Substance Use Disorder Rehabilitation Clinic/Center · Plymouth, MI
Provider details
- NPI number
- 1639201262
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Joseph Paliwoda, Ceo
- License
- 821032 (MI)
Practice location
575 S Main St Ste 6
Plymouth, MI 48170-1778
Phone: (734) 451-7800
Fax: (734) 451-5410
Mailing address
575 S Main St
Plymouth, MI 48170-1778
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2018-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.