Organization
PHILLIPS MANOR ROOM AND BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES PHILLIPS JR. (ADMINISTRATOR)
(313) 333-5989
Entity
Organization
Contact information
Practice address
16215 FERGUSON ST, DETROIT, MI 48235-3440
(313) 333-5989
Mailing address
16215 FERGUSON ST, DETROIT, MI 48235-3440
(313) 333-5989
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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