Organization
O AND B COMMUNITY HOMES
Active
Other names
O and B Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELIN SUSAN ORKISZ-BENNETT (EXECUTIVE DIRECTOR)
(734) 692-1410
Entity
Organization
Contact information
Practice address
2837 W JEFFERSON AVE, TRENTON, MI 48183-2973
(734) 692-1410
(734) 692-1099
Mailing address
2837 W JEFFERSON AVE, TRENTON, MI 48183-2973
(734) 692-1410
(734) 692-1099
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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