Organization
WAYNE COUNTY REGIONAL EDUCATIONAL SERVICE AGENCY
Active
Other names
Wayne RESA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN CUMMINS MERRY (EXECUTIVE DIRECTOR, MEDICAID REIMB)
(734) 334-1820
Entity
Organization
Contact information
Practice address
33500 VAN BORN RD, WAYNE, MI 48184-2474
(734) 334-1820
(734) 334-1824
Mailing address
33500 VAN BORN ROAD, WAYNE, MI 48184
(734) 334-1820
(734) 334-1824
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2912959
—
MI
Enumeration date
07/18/2006
Last updated
08/22/2020
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