Organization
FLATROCK MANOR OF BURTON INC
Active
Other names
gsm inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS DAVID BURNETT (PRESIDENT)
(810) 964-1430
Entity
Organization
Contact information
Practice address
1345 CONNELL ST, BURTON, MI 48529-2201
(810) 743-7697
(810) 743-7370
Mailing address
1345 CONNELL ST, BURTON, MI 48529-2201
(810) 743-7697
(810) 743-7370
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AL250312953
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AL250314581
MI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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