Organization
COMMUNITY PROGRAMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROYALLA ENEST ROSS (REGISTER NURSE)
(248) 276-0578
Entity
Organization
Contact information
Practice address
540 BOYD ST, PONTIAC, MI 48342
(248) 276-0578
Mailing address
540 BOYD ST, PONTIAC, MI 48342-1982
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4704197314
MI
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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