Organization
RUSTIC RIDGE SPECIALIZED RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA MOSLANDER (HR ADMIN)
(833) 478-9464
Entity
Organization
Contact information
Practice address
6624 RUSTIC RIDGE TRL, GRAND BLANC, MI 48439-4955
(833) 478-9464
Mailing address
3060 S DYE RD, FLINT, MI 48507-1078
(833) 478-9464
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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