Organization
CAMP GRACE BENTLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY C PERRI (CAMP DIRECTOR)
(313) 962-8242
Entity
Organization
Contact information
Practice address
1877 MARYLAND BLVD, BIRMINGHAM, MI 48009-4119
(313) 962-8242
Mailing address
8250 LAKESHORE RD, BURTCHVILLE, MI 48059-1324
(313) 962-8142
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
CR740200695
MI
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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