Organization
PACKARD GROUP II, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SLEDGE (VICE PRESIDENT)
(313) 872-7826
Entity
Organization
Contact information
Practice address
731 PALLISTER ST, DETROIT, MI 48202-2418
(313) 872-7826
Mailing address
731 PALLISTER ST, DETROIT, MI 48202-2418
(313) 872-7826
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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