Organization
PATRICK COMMUNITY LIVING FACILITIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENICE TIGGS (EXECUTIVE DIRECTOR)
(810) 655-3407
Entity
Organization
Contact information
Practice address
7075 JENNINGS RD, SWARTZ CREEK, MI 48473-8809
(810) 655-3407
Mailing address
7075 JENNINGS RD, SWARTZ CREEK, MI 48473-8809
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AS250272749
MI
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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