Organization
SPECIALLY MADE CO. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KILL (PRES/CEO)
(248) 790-4135
Entity
Organization
Contact information
Practice address
845 E SUMMERFIELD GLEN CIR, ANN ARBOR, MI 48103-9161
(248) 790-4135
Mailing address
7631 N DIXBORO RD, SOUTH LYON, MI 48178-7008
(248) 790-4135
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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