Organization
SACRED HEART REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM ARDOIN (CFO)
(810) 392-2167
Entity
Organization
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
101YA0400X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
THERAPIST
MI
05
—
500044
—
MI
Enumeration date
09/14/2006
Last updated
03/04/2020
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