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Organization

LOTUS COMMUNITY LIVING SUPPORTS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EURICE PAIGE (EXCUTIVE DIRECTOR)
(810) 423-2479
Entity
Organization

Contact information

Practice address
5279 N JENNINGS RD, FLINT, MI 48504-1135
(810) 423-2479
Mailing address
481 N MAIN ST STE 208, FRANKENMUTH, MI 48734-1115

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320700000X
Physical Disabilities Residential Treatment Facility

Other

Enumeration date
04/07/2022
Last updated
04/07/2022
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