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Organization

FAMILY EDUCATIONAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL DEWITT THOMAS JR. (ADMINISTRATOR)
(888) 759-4917
Entity
Organization

Contact information

Practice address
2111 GOLFSIDE RD, YPSILANTI, MI 48197-1145
(888) 400-1980
(734) 822-6508
Mailing address
4860 WASHTENAW AVE STE I - 172, ANN ARBOR, MI 48108-3401
(888) 759-4917
(734) 547-3017

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
163W00000X
Registered Nurse
4704213153REN17
MI
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
5201000744
MI

Other

Enumeration date
12/12/2017
Last updated
11/30/2020
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