Organization
RENAISSANCE COMMUNITY HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANN BELL (CHIEF FINANCIAL OFFICER)
(734) 340-5707
Entity
Organization
Contact information
Practice address
1548 W MAUMEE STREET, SUITE C, ADRIAN, MI 49221
(734) 439-0464
(517) 438-8392
Mailing address
PO BOX 749, ADRIAN, MI 49221
(734) 439-0464
(517) 438-8392
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/22/2007
Last updated
11/08/2023
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