Organization
RESIDECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CATHERMAN (CREDENTIALING)
(267) 767-6851
Entity
Organization
Contact information
Practice address
1161 NASH AVE, YPSILANTI, MI 48198-6291
(734) 460-2558
(734) 533-6066
Mailing address
PO BOX 970235, YPSILANTI, MI 48197-0031
(269) 666-6098
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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