Organization
RENAE MANIGAULT
Active
Other names
Renae's AFC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENAE MANIGAULT (ADMN.)
(313) 418-8095
Entity
Organization
Contact information
Practice address
19350 CHAREST ST, DETROIT, MI 48234-1646
(313) 418-8095
Mailing address
19350 CHAREST ST, DETROIT, MI 48234-1646
(313) 418-8095
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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