Organization
HOPE NETWORK REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY HOWARD CTRS (THERAPEUTIC RECREATION SPECIALIST)
(517) 332-1616
Entity
Organization
Contact information
Practice address
2313 BLUE HERON CT, FENTON, MI 48430-3269
(810) 391-8246
Mailing address
2313 BLUE HERON CT, FENTON, MI 48430-3269
(810) 391-8246
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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