# FLATROCK MANOR OF FENTON

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

## Provider details

- **NPI number:** 1245683614
- **Authorized official:** CARRIE ALDRICH (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (848) 459-3831

## Contact information

- **Practice address:** 17600 SILVER PKWY, FENTON, MI 48430-3497
- **Practice address phone:** (810) 354-8581
- **Practice address fax:** (810) 354-8582
- **Mailing address:** 17600 SILVER PKWY, FENTON, MI 48430-3497
- **Mailing address phone:** (810) 354-8581
- **Mailing address fax:** (810) 354-8582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AL250369914 | MI | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016