Organization
MACOMB RESIDENTIAL OPPORTUNITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED EDWARD DEVANTIER (EXECUTIVE DIRECTOR)
(586) 469-4480
Entity
Organization
Contact information
Practice address
2 CROCKER BLVD, SUITE 205, MOUNT CLEMENS, MI 48043-2528
(586) 469-4480
(586) 469-4799
Mailing address
2 CROCKER BLVD, SUITE 205, MOUNT CLEMENS, MI 48043-2528
(586) 469-4480
(586) 469-4799
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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