Organization
WILLIS HOUSE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA D BARGE M.B.A (EXECUTIVE DIRECTOR)
(248) 320-6569
Entity
Organization
Contact information
Practice address
82 FRANKLIN BLVD, PONTIAC, MI 48341-1703
(248) 320-6569
(866) 232-1309
Mailing address
82 FRANKLIN BLVD, PONTIAC, MI 48341-1703
(248) 320-6569
(866) 232-1309
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
AS630275064
MI
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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