Provider Demographics
NPI:1871731570
Name:UNITY HOMES, INC.
Entity type:Organization
Organization Name:UNITY HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-542-2627
Mailing Address - Street 1:23220 MANISTEE ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2294
Mailing Address - Country:US
Mailing Address - Phone:248-789-8692
Mailing Address - Fax:313-458-7102
Practice Address - Street 1:14467 TROESTER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-3545
Practice Address - Country:US
Practice Address - Phone:248-789-8692
Practice Address - Fax:313-458-7102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITY HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS820264458320900000X
MIAS820284208320900000X
MIAS820268621320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities