Organization
BERTRAM HAUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM RENEE PAGE (DIRECTOR OF OPERATIONS)
(810) 743-4020
Entity
Organization
Contact information
Practice address
1330 KENNETH ST, BURTON, MI 48529-2206
(810) 743-4020
(810) 743-7370
Mailing address
1330 KENNETH STREET, BURTON, MI 48529-2201
(810) 743-4020
(810) 743-7370
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
AM250237981
MI
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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