Macomb Residential Opportunities, Inc.
NPI #1093990384 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1093990384
- Entity Type
- Organization
- Organization Name
- Macomb Residential Opportunities, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 4, 2008
- Last Updated
- Jan 4, 2008
Practice Location
- Address
- 2 CROCKER BLVD
- Address 2
- SUITE 205
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-2528
- Phone
- (586) 469-4480
Authorized Official
- Name
- MR. TED EDWARD DEVANTIER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (586) 469-4480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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