Organization
THE BERRY CENTER, LLC
Active
Other names
Berry Center & The Berry Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L CARPENTER JR. (BOARD MANAGER)
(317) 621-7475
Entity
Organization
Contact information
Practice address
28500 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-2936
(248) 851-6767
(248) 851-2977
Mailing address
28500 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-2936
(248) 851-6767
(248) 851-2077
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
636818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636818
STATE LICENSE NUMBER
MI
Enumeration date
05/27/2006
Last updated
12/14/2007
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