Organization
MY BELOVED GROUP HOME
Active
Organization
MY BELOVED GROUP HOME
Active
Other names
My Beloved Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESSA ANTIONETTE NELSON (ADMINISTRATOR)
(248) 470-0063
Entity
Organization
Contact information
Practice address
24260 RADCLIFT ST, OAK PARK, MI 48237-1558
(248) 470-0063
(248) 565-8527
Mailing address
24260 RADCLIFT ST, OAK PARK, MI 48237-1558
(248) 470-0063
(248) 565-8527
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS630309555
MI
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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