Organization
FAITH HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO DAVID TILLERY MBA, LMSW, CAADC (CEO)
(517) 703-3387
Entity
Organization
Contact information
Practice address
3721 W MICHIGAN AVE STE 200, LANSING, MI 48917-3600
(517) 481-6270
Mailing address
3721 W MICHIGAN AVE STE 200, LANSING, MI 48917-3600
(517) 481-6270
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
10/31/2024
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