Organization
SPENCER MANOR LIVING WELL
Active
Organization
SPENCER MANOR LIVING WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA MARIE ROYSTER (OWNER)
(810) 744-2777
Entity
Organization
Contact information
Practice address
2219 S TERM ST, BURTON, MI 48519-1030
(810) 744-2777
Mailing address
2219 S TERM ST, BURTON, MI 48519-1030
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
AS250306594
MI
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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