Organization
COMMUNITY SPIRIT HOMES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LEE WARD (EXECUTIVE DIRECTORQ)
(734) 254-9090
Entity
Organization
Contact information
Practice address
5860 N CANTON CENTER RD STE 320, CANTON, MI 48187-2687
(734) 254-9090
(734) 254-9099
Mailing address
5860 N CANTON CENTER RD STE 320, CANTON, MI 48187-2687
(734) 254-9090
(734) 254-9099
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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