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Organization
DEAN'S MANOR INC.
Active
Organization
DEAN'S MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA DESHONE JORDAN-ROBERSON (PRESIDENT/PROVIDER)
(313) 388-9648
Entity
Organization
Contact information
Practice address
4328 7TH STREET, 4329 7TH STREET, ECORSE, MI 48229
(313) 388-9648
(313) 388-4013
Mailing address
22745 JEFFERSON, ST.CLAIR SHORES, MI 48080
(313) 388-9648
(313) 388-4013
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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