Organization
BENTLEY MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MARIE BENTLEY BBA (LICENSEE / CEO)
(810) 686-4858
Entity
Organization
Contact information
Practice address
2099 W WILSON RD, CLIO, MI 48420-1603
(810) 686-4858
(810) 686-4674
Mailing address
2099 W WILSON RD, CLIO, MI 48420-1603
(810) 686-4858
(810) 686-4674
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS250010929
MI
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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