Organization
WILSON RESIDENTIAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENICE RANA WILSON (PRESIDENT)
(989) 871-5090
Entity
Organization
Contact information
Practice address
6450 BARNES RD, MILLINGTON, MI 48746-9517
(989) 871-5090
Mailing address
6450 BARNES RD, MILLINGTON, MI 48746-9517
(989) 871-5090
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250268248
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS790308206
MI
Other
Enumeration date
02/23/2007
Last updated
03/17/2018
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