# THE MANOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043363898
- **Authorized official:** MR. FRED PRASSER ACSW (PRESIDENT AND CEO)
- **Authorized official phone:** (517) 849-2151

## Contact information

- **Practice address:** 115 EAST ST, JONESVILLE, MI 49250-1007
- **Practice address phone:** (517) 849-2151
- **Practice address fax:** (517) 849-2880
- **Mailing address:** 115 EAST ST, P.O. BOX 98, JONESVILLE, MI 49250-1007
- **Mailing address phone:** (517) 849-2151
- **Mailing address fax:** (517) 849-2880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | C1300201277 | MI | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6356654 | PROVIDER NUMBER | MI |
| 01 | — | C1300201277 | LICENSE NUMBER | MI |