Organization
JOSHUA STREET RESIDENTIAL CARE & REHABILITATIVE SERVICES
Active
Other names
Joshua Street Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
KATREVA N BISBEE (BILLING SPECIALIST)
(517) 882-3544
Entity
Organization
Contact information
Practice address
809 CENTER ST STE 9A, LANSING, MI 48906-5258
(517) 882-3544
(517) 882-3525
Mailing address
PO BOX 1362, EAST LANSING, MI 48826-1362
(517) 882-3544
(517) 882-3525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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