Organization
RESIDENT ADVANCEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE MOLYNEAUX (EXECUTIVE DIRECTOR)
(810) 750-0382
Entity
Organization
Contact information
Practice address
411 S LEROY STREET, FENTON, MI 48430
(810) 750-0382
(810) 750-6712
Mailing address
411 S LEROY STREET, PO BOX 555, FENTON, MI 48430
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250010823
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250010859
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250010923
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250010959
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AS250077905
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250263541
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250264516
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS250285695
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS440284111
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS440284123
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS730071758
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS730263806
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS760013141
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS760014821
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS760091948
MI
Other
Enumeration date
05/03/2007
Last updated
05/02/2012
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