Provider Demographics
NPI:1902051907
Name:THE EILAND'S ASSISTED LIVING II
Entity Type:Organization
Organization Name:THE EILAND'S ASSISTED LIVING II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:DENEEN
Authorized Official - Last Name:EILAND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-552-1163
Mailing Address - Street 1:17670 NEW HAMPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2729
Mailing Address - Country:US
Mailing Address - Phone:248-552-1163
Mailing Address - Fax:
Practice Address - Street 1:17670 NEW HAMPSHIRE DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2729
Practice Address - Country:US
Practice Address - Phone:248-552-1163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS630296738310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility