# JOSHUA STREET RESIDENTIAL CARE & REHABILITATIVE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Joshua Street Residential Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922513902
- **Authorized official:** KATREVA N BISBEE (BILLING SPECIALIST)
- **Authorized official phone:** (517) 882-3544

## Contact information

- **Practice address:** 809 CENTER ST STE 9A, LANSING, MI 48906-5258
- **Practice address phone:** (517) 882-3544
- **Practice address fax:** (517) 882-3525
- **Mailing address:** PO BOX 1362, EAST LANSING, MI 48826-1362
- **Mailing address phone:** (517) 882-3544
- **Mailing address fax:** (517) 882-3525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 12/12/2017
- **Last updated:** 12/12/2017