Organization
HENLYN CARE, INC.
Active
Other names
Henlyn Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN GILLUM OWNER (PRESIDENT)
(734) 545-0188
Entity
Organization
Contact information
Practice address
1132 CLAIR CIR, ANN ARBOR, MI 48103-3023
(734) 545-0188
(734) 663-9080
Mailing address
PO BOX 2562, ANN ARBOR, MI 48106-2562
(734) 663-9080
(734) 663-9080
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/13/2019
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