# DEAN'S MANOR INC.

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

## Provider details

- **NPI number:** 1508964255
- **Authorized official:** MRS. DENA DESHONE JORDAN-ROBERSON (PRESIDENT/PROVIDER)
- **Authorized official phone:** (313) 388-9648

## Contact information

- **Practice address:** 4328 7TH STREET, 4329 7TH STREET, ECORSE, MI 48229
- **Practice address phone:** (313) 388-9648
- **Practice address fax:** (313) 388-4013
- **Mailing address:** 22745 JEFFERSON, ST.CLAIR SHORES, MI 48080
- **Mailing address phone:** (313) 388-9648
- **Mailing address fax:** (313) 388-4013

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020