Organization
MICHIGAN AVENUE RESIDENTIAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOPE MERCEDES LOVELL (PRESIDENT)
(517) 367-8172
Entity
Organization
Contact information
Practice address
1204 W MICHIGAN AVE, LANSING, MI 48915-1724
(517) 367-8172
(517) 853-0791
Mailing address
2820 WOODVIEW DR, LANSING, MI 48911-1727
(517) 367-8172
(517) 853-0791
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
02/03/2007
Last updated
08/22/2020
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