Organization
HANCOCK RESIDENTIAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK T FELDER (ACCOUNTANT)
(248) 538-9100
Entity
Organization
Contact information
Practice address
801 W WILLIS ST, DETROIT, MI 48201-1629
(313) 831-3551
(313) 831-8718
Mailing address
801 W WILLIS ST, DETROIT, MI 48201-1629
(313) 831-3551
(313) 831-8718
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
MI
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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