Organization
EVEREST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE A SEMETKO (EXECUTIVE DIRECTOR)
(734) 675-3037
Entity
Organization
Contact information
Practice address
19510 CASCADE DR, BROWNSTOWN, MI 48193-8572
(734) 675-3037
(734) 675-3332
Mailing address
PO BOX 2352, RIVERVIEW, MI 48193-1352
(734) 675-3037
(734) 675-3332
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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