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Organization
2 FOOT PRINTS
Active
Organization
2 FOOT PRINTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HANKERSON (CEO)
(248) 330-2464
Entity
Organization
Contact information
Practice address
30067 SPRING ARBOR DR, INKSTER, MI 48141-1519
(248) 330-4264
Mailing address
24106 HICKORY GROVE LN, NOVI, MI 48375-3168
(248) 330-4264
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
10/21/2006
Last updated
08/22/2020
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