Organization
MONTCLAIR SPECIALIZED RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER BERTRAM JR. (OWNER/OPERATOR)
(480) 709-6403
Entity
Organization
Contact information
Practice address
2101 MONTCLAIR AVE, FLINT, MI 48503-2220
(833) 478-9464
Mailing address
PO BOX 190024, BURTON, MI 48519-0024
(480) 709-6403
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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