Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Liberal Manor Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1619041183

Liberal Manor Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

129 Virginia Park St
Detroit, MI 48202-2000
Phone: (313) 874-5404
Fax: (248) 208-0024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X (MI)

Record details

NPI number1619041183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Davis — Administrator · (313) 874-5404
NPI enumeratedNovember 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address14981 Liberal St, Detroit, MI 48205-1905

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