Organization
BAKERS COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILMA KAY BAKER (PRESIDENT)
(313) 622-8201
Entity
Organization
Contact information
Practice address
1155 AVALON AVE, SAGINAW, MI 48638-4731
(313) 622-8201
(313) 581-4552
Mailing address
8083 WARD ST, DETROIT, MI 48228-2713
(313) 622-8201
(313) 581-4552
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS730302465
MI
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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