Organization
UNITY GROUP V LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHALLE AUSTIN (MANAGING MEMBER)
(517) 617-9591
Entity
Organization
Contact information
Practice address
69 WOOD DR, COLDWATER, MI 49036-1046
(517) 617-9591
Mailing address
PO BOX 577, COLDWATER, MI 49036-0577
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS120385673
ADULT FOSTER CARE SPECIALIZED RESIDENTIAL
MI
Enumeration date
09/26/2018
Last updated
09/26/2018
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