Organization
JARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY BAXTER (CHIEF FINANCIAL OFFICER)
(248) 488-7528
Entity
Organization
Contact information
Practice address
30301 NORTHWESTERN HWY, SUITE 100, FARMINGTON HILLS, MI 48334-3214
(248) 538-6611
Mailing address
30301 NORTHWESTERN HWY, SUITE 100, FARMINGTON HILLS, MI 48334-3214
(248) 538-6611
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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