Organization
THE FOWLER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KYLE MIDDLETON C.T.R.S. (EXECUTIVE DIRECTOR)
(313) 418-8385
Entity
Organization
Contact information
Practice address
2315 HARMON LAKE RD, MAYVILLE, MI 48744-9737
(989) 673-2050
(989) 673-6355
Mailing address
2315 HARMON LAKE RD, MAYVILLE, MI 48744-9737
(989) 673-2050
(989) 673-6355
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
AC790200832
MI
Other
Enumeration date
07/28/2010
Last updated
12/30/2016
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