Organization
PDHCRC, INC.
Active
Other names
Potential Development Homes, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARRIE BEILFUSS (CEO)
(517) 748-7071
Entity
Organization
Contact information
Practice address
2111 BONDSTEEL DR., JACKSON, MI 49202
(517) 784-4426
Mailing address
205 17TH ST, P.O. BOX 1978, JACKSON, MI 49203-1403
(517) 784-4426
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AL380007055
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AL380007055
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AL380007059
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
DC380253832
MI
385HR2065X
Child Physical Disabilities Respite Care
DC380253832
MI
Other
Enumeration date
01/31/2007
Last updated
05/08/2024
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