Organization
MERRIMAN ADULT FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ROLAND MERRIMAN (OWNER)
18102389416
Entity
Organization
Contact information
Practice address
1405 WATCH HILL DR, FLINT, MI 48507-5625
(810) 238-9416
Mailing address
1405 WATCH HILL DR, FLINT, MI 48507-5625
(810) 238-9416
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4588749
MICH. F.I.A.
MI
Enumeration date
07/06/2006
Last updated
08/22/2020
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