Organization
FLATROCK MANOR OF FENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ALDRICH (AUTHORIZED OFFICIAL)
(848) 459-3831
Entity
Organization
Contact information
Practice address
17600 SILVER PKWY, FENTON, MI 48430-3497
(810) 354-8581
(810) 354-8582
Mailing address
17600 SILVER PKWY, FENTON, MI 48430-3497
(810) 354-8581
(810) 354-8582
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AL250369914
MI
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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