Organization
DEHNEL INC
Active
Other names
Lafayette Park
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER REBECCA ATWELL (ADMINISTRATOR)
(810) 232-7433
Entity
Organization
Contact information
Practice address
218 W 4TH ST, FLINT, MI 48502-1103
(810) 232-7433
(810) 232-9112
Mailing address
218 W 4TH ST, FLINT, MI 48502-1103
(810) 232-7433
(810) 232-9112
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AG250000015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343837
—
MI
Enumeration date
10/06/2008
Last updated
10/06/2008
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