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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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