Organization
HUDSON'S COUNTRY MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONDREA DEMARIKO LOUDEN (ADMINISTRATOR)
(269) 501-3761
Entity
Organization
Contact information
Practice address
9842 OAKLAND DR, PORTAGE, MI 49024-7710
(269) 323-9752
Mailing address
9842 OAKLAND DR, PORTAGE, MI 49024-7710
(269) 323-9752
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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