Organization
CHARLOTTE'S CARE
Active
Parent organization
CHARLOTTE'S CARE
Other names
Charlotte's Care ll
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE'S CARE
Authorized official
MRS. TOWANDA ANN DANCY (HEAD SUPERVISOR)
(313) 719-9990
Entity
Organization
Contact information
Practice address
465 PLUM ST, 1605 FORT PARK, WYANDOTTE, MI 48192-6553
(734) 285-1143
(734) 285-2789
Mailing address
465 PLUM ST, 1605 FORT PARK, WYANDOTTE, MI 48192-6553
(734) 285-1143
(734) 285-2789
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS820014266
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS820256000
MI
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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