Organization
CONSUMER ADVANCEMENT
Active
Other names
WOODLAND PARK/FLETCHER HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATONIA FLETCHER (ADMINISTRATOR)
(810) 449-2473
Entity
Organization
Contact information
Practice address
3209 OLD FARM RD, 4438 COLBY CT., FLINT, MI 48507-1248
(810) 449-2473
(810) 733-0118
Mailing address
3209 OLD FARM RD., BURTON, MI 48509
(810) 449-2473
(810) 733-0118
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS250282482
MI
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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