Residecare LLC

NPI #1093565590 in Ypsilanti, Michigan

Provider Information

NPI Number
1093565590
Entity Type
Organization
Organization Name
Residecare LLC
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Mar 26, 2024
Last Updated
Mar 26, 2024

Practice Location

Address
1161 NASH AVE
ZIP Code
48198-6291
Phone
(734) 460-2558

Authorized Official

Name
SUSAN CATHERMAN
Title
CREDENTIALING
Phone
(267) 767-6851

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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