Organization
THE WHITE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN D VAUGHN (OWNER)
(248) 682-0773
Entity
Organization
Contact information
Practice address
5466 GREENBRIAR DR, WEST BLOOMFIELD, MI 48323-2328
(248) 682-0773
(248) 682-0912
Mailing address
5466 GREENBRIAR DR, WEST BLOOMFIELD, MI 48323-2328
(248) 682-0773
(248) 682-0912
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
630279828
MI
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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