Organization
CALHOUN SPECIALIZED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA RAE WATES (ADMINSTRATOR)
(269) 317-9508
Entity
Organization
Contact information
Practice address
76 N UNION ST, BATTLE CREEK, MI 49017-4744
(269) 317-9508
Mailing address
PO BOX 175, BATTLE CREEK, MI 49016-0175
(269) 317-9508
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS130268236
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS130286956
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS130294928
MI
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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