Organization
DEVONSHIRE MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYSTI ROCHOWIAK (ADMINISTRATOR)
(810) 220-4516
Entity
Organization
Contact information
Practice address
891 DEVONSHIRE BLVD, BRIGHTON, MI 48116-1705
(810) 220-4516
(810) 225-4388
Mailing address
891 DEVONSHIRE BLVD, BRIGHTON, MI 48116-1705
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AS470291101
MI
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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