Organization
RANDALL RESIDENCE OF STERLING HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SUFNAR (EXECUTIVE DIRECTOR)
(586) 254-5719
Entity
Organization
Contact information
Practice address
13400 19 MILE RD, STERLING HEIGHTS, MI 48313-1950
(586) 254-5719
Mailing address
13400 19 MILE RD, STERLING HEIGHTS, MI 48313-1950
(586) 254-5719
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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